DR. REID MICHAEL AMBORN (NPI# 1861732927) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1861732927 |
Entity Type | Individual |
Full Name | DR. REID MICHAEL AMBORN |
Credential | D.M.D., M.S. |
Practice Address |
1810 E Nob Hill St Se Salem OR 97302-5238 |
Practice Telephone | 5035818141 |
Practice Fax Number | 5033752808 |
Mailing Telephone | 5035818141 |
Mailing Fax Number | 5033752808 |
Enumeration Date | 2013-02-26 |
Last Update Date | 2013-02-26 |
Gender Code | M |
Is Sole Proprietor | Y |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 1223X0400X |
Dentist Specialization: Orthodontics and Dentofacial Orthopedics |
D6147 | OR | Dental Providers |
Street Address |
1810 E NOB HILL ST SE |
City | SALEM |
State | OR |
Zip Code | 97302-5238 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1952954679 | Eric Anthony Bohm | Pharmacist | 2757 22nd St. Se, Salem, OR 97302 | 2019-07-22 |
1598223737 | Michael Robert Martini | Counselor | 960 Liberty Rd Se Suite 120, Salem, OR 97302 | 2019-03-06 |
1659857480 | Avalina Pharmacy Inc | Pharmacy | 3507 Commercial St Se, Salem, OR 97302 | 2018-07-16 |
1649762733 | Joseph Bochsler | Physical Therapist | 3220 Liberty Rd. S., Salem, OR 97302 | 2018-06-04 |
1922533652 | Brianne Elizabeth Sischo | Licensed Practical Nurse | 3871 Fairview Industrial Dr. Se Ste, 150, Salem, OR 97302 | 2017-05-01 |
1851825566 | Modern Nose Clinic LLC | Otolaryngology | 340 Vista Ave Se, Ste 100, Salem, OR 97302 | 2017-04-19 |
1720529803 | Nicholas Forsberg | Massage Therapist | 126 Mize Rd S, Salem, OR 97302 | 2017-03-09 |
1437691078 | Kimo Mahi | Specialist/Technologist, Other | 2373 Kuebler Rd. S, Salem, OR 97302 | 2016-11-14 |
1588113278 | New Life Family Medicine LLC | Clinic/Center | 842 Commercial Street Ne, Salem, OR 97302 | 2016-09-23 |
1073060117 | Susan Morag Robnett | Counselor | 912 Fir Street South, Salem, OR 97302 | 2016-09-07 |
Find all providers in zip 97302 |
Taxonomy Code | 1223X0400X |
Grouping | Dental Providers |
Classification | Dentist |
Specialization | Orthodontics and Dentofacial Orthopedics |
That area of dentistry concerned with the supervision, guidance and correction of the growing or mature dentofacial structures, including those conditions that require movement of teeth or correction of malrelationships and malformations of their related structures and the adjustment of relationships between and among teeth and facial bones by the application of forces and/or the stimulation and redirection of functional forces within the craniofacial complex. Major responsibilities of orthodontic practice include the diagnosis, prevention, interception and treatment of all forms of malocclusion of the teeth and associated alterations in their surrounding structures; the design, application and control of functional and corrective appliances; and the guidance of the dentition and its supporting structures to attain and maintain optimum occlusal relations in physiologic and esthetic harmony among facial and cranial structures. |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1396134896 | Viktoria P. Talebian Dmd PC | Dentist | 128 Highland Avenue, Suite #1, Salem, MA 01970 | 2015-01-21 |
1053605246 | Cole R Johnson | Dentist | 2755 Commercial St Se Ste 200, Salem, OR 97302-4991 | 2011-06-05 |
1457675738 | Thomas Orthodontics | Dentist | 424 State Road 198, Salem, UT 84653-4605 | 2010-03-16 |
1801012240 | Frank R Bailey Ddd Inc | Dentist | 2384 Southeast Blvd, Salem, OH 44460-3418 | 2007-04-17 |
1508904046 | Richard Horne Tate | Dentist | 701 S College Ave, Salem, VA 24153-5167 | 2007-02-04 |
1366518672 | Mcdonald Orthodontics | Dentist | 1855 West Nob Hill St Se, Suite 300, Salem, OR 97302 | 2006-11-28 |
1750455325 | Richard S Teel | Dentist | 1460 Commercial St Se, Salem, OR 97302-4308 | 2006-11-17 |
1922170208 | Earl Edmondson Gilder | Dentist | 3940 Lancaster Dr Ne, Salem, OR 97305-1450 | 2006-11-14 |
1013020031 | Viktoria Talebian | Dentist | 128 Highland Ave # 1, Salem, MA 01970-2724 | 2006-08-16 |
1902889900 | Kenneth Robert Greenbaum | Dentist | 2450 Lancaster Dr Ne, Suite 200, Salem, OR 97305-1130 | 2005-11-22 |
Find all providers in SALEM |
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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.