DR. AMBERENA LOUISE FAIRLEE (NPI# 1790201846) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1790201846 |
| Entity Type | Individual |
| Full Name | DR. AMBERENA LOUISE FAIRLEE |
| Credential | DMD |
| Practice Address |
499 Sw Upper Terrace Dr Ste B Bend OR 97702-1582 |
| Mailing Address |
61101 Buckshot Pl Bend OR 97702-2992 |
| Practice Telephone | 5412272064 |
| Practice Fax Number | 5413233929 |
| Mailing Telephone | 5419777618 |
| Enumeration Date | 2017-08-21 |
| Last Update Date | 2018-03-17 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 1223G0001X |
Dentist Specialization: General Practice |
D10730 | OR | Dental Providers |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 3181 Sw Sam Jackson Park Rd, Portland, OR 972393011 | 5034948211 |
| Street Address |
499 SW UPPER TERRACE DR STE B |
| City | BEND |
| State | OR |
| Zip Code | 97702-1582 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1629676259 | Amy Michelle Anderson | Counselor | 233 Sw Wilson Ave, Ste 201, Bend, OR 97702 | 2020-10-15 |
| 1386259463 | Jacob Rehder | Counselor | 19717 Mt Batchelor Dr, #226, Bend, OR 97702 | 2020-09-15 |
| 1497385215 | Capacity Performance Therapy | Physical Medicine & Rehabilitation | 61125 Lodgepole Dr., Bend, OR 97702 | 2020-01-21 |
| 1962041707 | Shift Bend Functional Medicine | Family Medicine | 151 Sw Shevlin Hicks Dr, Suite #1, Bend, OR 97702 | 2019-12-26 |
| 1609435049 | Praxis Medical Group Inc | Orthopaedic Surgery | 1140 Sw Simpson Avenue, Suite 100, Bend, OR 97702 | 2019-06-10 |
| 1013485754 | Elana Leah Pesah | Social Worker | 138 Maaglei Harim Levin, Jerusalem, ISRAEL 97702 | 2018-11-12 |
| 1104303239 | Kyleigh Mcvey | Massage Therapist | 999 Sw Disk Dr, Bend, OR 97702 | 2018-07-21 |
| 1477042869 | Siloe Castaneda Huerta | Counselor | 1340 Nw Wall, Bend, Or, Bend, OR 97702 | 2018-05-02 |
| 1164910808 | Rebecca M Joyce | Social Worker | 1011 Sw Emkay Dr. Suite 101, Bend, OR 97702 | 2018-04-27 |
| 1093217978 | Jennifer Bury | Acupuncturist | 296 Sw Columbia St Ste D1, Bend, OR 97702 | 2018-03-06 |
| Find all providers in zip 97702 | ||||
| Taxonomy Code | 1223G0001X |
| Grouping | Dental Providers |
| Classification | Dentist |
| Specialization | General Practice |
| A general dentist is the primary dental care provider for patients of all ages. The general dentist is responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs. |
| Notes: Source: Academy of General Dentistry |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1225401052 | Mirror Pond Dental, LLC | Dentist | 102 Nw Newport Ave, Bend, OR 97703-1838 | 2015-11-02 |
| 1336577824 | Dr Dondo Dental Excellence LLC | Dentist | 1725 Sw Chandler Ave Ste 100, Bend, OR 97702-3248 | 2013-10-22 |
| 1588098917 | Jared R Adams | Dentist | 775 Sw Bonnett Way, Ste 100, Bend, OR 97702-2080 | 2013-08-21 |
| 1194165878 | Eric Noland Alston | Dentist | 62968 O B Riley Rd Ste 12, Bend, OR 97703 | 2013-06-26 |
| 1023252384 | Robert Harold Hodgert | Dentist | 2445 Ne Division St, Suite 106, Bend, OR 97701-3571 | 2009-04-29 |
| 1205092954 | Blake Brandt Drew | Dentist | 2215 Nw Shevlin Park Rd Ste 110, Bend, OR 97703-7108 | 2008-08-01 |
| 1073770764 | Jack Randolph Miller | Dentist | 2078 Ne Professional Ct, Bend, OR 97701-6077 | 2008-05-20 |
| 1164601738 | Benjamin David Crockett | Dentist | 344 Ne Marshall Ave, Bend, OR 97701-4346 | 2007-10-30 |
| 1912113838 | Virginia Kay Murtaugh | Dentist | 1510 Sw Nancy Way, Suite #2, Bend, OR 97702-3256 | 2007-05-15 |
| 1205042801 | Stephen Garth Skipworth | Dentist | 22550 Skyview Ln, Bend, OR 97702-9676 | 2007-05-14 |
| Find all providers in BEND | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.