Healthcare Provider Details

I. General information

NPI: 1386561579
Provider Name (Legal Business Name): AMBER EVE IKELER DMD
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 06/30/2026
Last Update Date: 06/30/2026
Certification Date: 06/30/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

101 6TH ST
BREWSTER WA
98812-3404
US

IV. Provider business mailing address

502 DAY RD
WENATCHEE WA
98801-2469
US

V. Phone/Fax

Practice location:
  • Phone: 800-660-2129
  • Fax:
Mailing address:
  • Phone: 512-947-3341
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code1223G0001X
TaxonomyGeneral Practice Dentistry
License NumberDENT.DE.70114469
License Number StateWA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: