DR. ROSEANN MARIE DAMERON (NPI# 1770847642) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1770847642 |
| Entity Type | Individual |
| Full Name | DR. ROSEANN MARIE DAMERON |
| Other Name | MRS. ROSEANN MARIE WALLACE |
| Credential | DDS |
| Practice Address |
1717 West Cowles Street Fairbanks AK 99701-4803 |
| Mailing Address |
1140 Pickering Dr Fairbanks AK 99709-5762 |
| Practice Telephone | 9074528251 |
| Practice Fax Number | 9074593837 |
| Mailing Telephone | 9187063640 |
| Mailing Fax Number | 9186196180 |
| Enumeration Date | 2012-06-26 |
| Last Update Date | 2013-02-18 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 1223D0001X |
Dentist Specialization: Dental Public Health |
6384 | OK | Dental Providers |
| Street Address |
1717 WEST COWLES STREET |
| City | FAIRBANKS |
| State | AK |
| Zip Code | 99701-4803 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1366462889 | Michael Fitch | Family Medicine | 1717 West Cowles Street, Fairbanks, AK 99701 | 2006-07-20 |
| 1265718456 | Claire L Banks | Registered Nurse | 1717 West Cowles Street, Fairbanks, AK 99701 | 2011-11-01 |
| 1689954620 | Dale William Welsh | Physician Assistant | 1717 West Cowles Street, Fairbanks, AK 99701-5903 | 2011-08-22 |
| 1023254935 | Michael J Roylance | Physician Assistant | 1717 West Cowles Street, Fairbanks, AK 99701 | 2008-12-23 |
| 1396915666 | Kimberley Ann Blood | Dietitian, Registered | 1717 West Cowles Street, Fairbanks, AK 99701 | 2008-03-03 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1659984987 | Resource Center for Parents & Children, Inc. | Social Worker | 726 26th Ave, Suite #2, Fairbanks, AK 99701 | 2020-08-26 |
| 1134738982 | Aaron Paul Sarauer | Behavior Technician | 3121 Lathrop St., Fairbanks, AK 99701 | 2020-07-28 |
| 1437715505 | Fabienne Rose Marie Siddall | Case Manager/Care Coordinator | 122 1st Avenue, Fairbanks, AK 99701 | 2019-05-14 |
| 1902461957 | Jacqueline Marie Rahm | Counselor | Family Centered Services of Alaska - Rtc, 3101 Lathrop St., Fairbanks, AK 99701 | 2019-05-06 |
| 1821588989 | Corrie Wilson | Nurse Practitioner | 1025 Barnette Street, Fairbanks, AK 99701 | 2018-05-15 |
| 1922519305 | Sarishma Sangeeta Lal | Registered Nurse | 815 2nd Ave Ste 122, Fairbanks, AK 99701 | 2017-10-12 |
| 1245690569 | Christine L Simko | Naturopath | 1275 Sadler Way, Ste 100 Rm 147, Fairbanks, AK 99701 | 2016-02-29 |
| 1932581600 | Jennifer Davis | Registered Nurse | 1025 West Barnette St., Fairbanks, AK 99701 | 2015-06-18 |
| 1700272705 | John D. Zipperer Jr Md, LLC | Clinic/Center | 751 Old Richardson Hwy., Fairbanks, AK 99701 | 2015-04-07 |
| 1578957460 | Mara Justine Becker | Physician Assistant | 1717 W. Cowles St, Fairbanks, AK- ALASKA 99701 | 2015-03-27 |
| Find all providers in zip 99701 | ||||
| Taxonomy Code | 1223D0001X |
| Grouping | Dental Providers |
| Classification | Dentist |
| Specialization | Dental Public Health |
| The science and art of preventing and controlling dental diseases and promoting dental health through organized community efforts. It is that form of dental practice that serves the community as a patient rather than the individual. It is concerned with the dental health education of the public, with applied dental research, and with the administration of group dental care programs as well as the prevention and control of dental diseases on a community basis. |
| Notes: Source: Council on Dental Education and Licensure, American Dental Association |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1609031285 | Andrew James Wappett | Dentist | 122 1st Ave, Suite 600, Fairbanks, AK 99701-4803 | 2008-07-23 |
| 1255362901 | Michael Richard Kwasinski | Dentist | 122 1st Ave, Suite 600, Fairbanks, AK 99701-4803 | 2006-07-05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1194217638 | Kathryn Davis Mctigue | Dentist | Nome Bypass Rd, Nome, AK 99762 | 2018-05-31 |
| 1437542594 | Raymond Reeves | Dentist | 216 Dalton Street, Suite 102, Haines, AK 99827 | 2015-03-13 |
| 1992877385 | Charles Richard Hazen | Dentist | 131 1st Ave. South, Haines, AK 99827-1529 | 2006-11-14 |
| 1255837720 | Joseph Robert Sem | Dentist | 1000 Greg Kruschek Ave, Nome, AK 99762-9976 | 2018-04-03 |
| 1720356520 | Amanda Shavings | Dentist | 829 Chief Eddie Hoffman Highway, Bethel, AK 99559-0528 | 2011-12-07 |
| 1194018747 | Marc Desjarlais | Dentist | 3245 Hospital Dr, Juneau, AK 99801-7809 | 2011-05-16 |
| 1497957278 | Maniilaq Association | Dentist | 436 5th & Ted Stevens Way, Kotzebue, AK 99752 | 2007-06-04 |
| 1437233277 | Lucia Helena Nascimento | Dentist | 3245 Hospital Dr, Juneau, AK 99801-7809 | 2006-10-25 |
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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.