NPI Code Details Logo

NPI 1386561579

NPI 1386561579 : AMBER EVE IKELER DMD : BREWSTER, WA

=====================================================
General NPI Number Information
=====================================================
    NPI Number           |    1386561579
-----------------------------------------------------
    Entity Type          |    Individual 
-----------------------------------------------------
    Provider Name        |    AMBER EVE IKELER DMD
-----------------------------------------------------
    Gender               |    Female 
-----------------------------------------------------

=====================================================
Dates
=====================================================
    Enumeration Date     |    06/30/2026
-----------------------------------------------------
    Last Update Date     |    06/30/2026
-----------------------------------------------------

=====================================================
Provider Practice Location Address
=====================================================
    Address Line         |    101 6TH ST 
-----------------------------------------------------
    City                 |    BREWSTER
-----------------------------------------------------
    State                |    WA
-----------------------------------------------------
    Zip                  |    98812-3404
-----------------------------------------------------
    Country              |    US
-----------------------------------------------------
    Telephone            |    800-660-2129
-----------------------------------------------------
    Fax                  |    
-----------------------------------------------------

=====================================================
Provider Business Mailing Address
=====================================================
    Address Line         |    502 DAY RD 
-----------------------------------------------------
    City                 |    WENATCHEE
-----------------------------------------------------
    State                |    WA
-----------------------------------------------------
    Zip                  |    98801-2469
-----------------------------------------------------
    Country              |    US
-----------------------------------------------------
    Telephone            |    512-947-3341
-----------------------------------------------------
    Fax                  |    
-----------------------------------------------------

=====================================================
Authorized Official
=====================================================
    Title or Position    |    
-----------------------------------------------------
    Name                 |        
-----------------------------------------------------
    Credential           |    
-----------------------------------------------------
    Telephone            |    
-----------------------------------------------------

=====================================================
Scope of Practice (Provider's specialty)
=====================================================
Taxonomy #1
-----------------------------------------------------
    Taxonomy Code        |    1223G0001X
-----------------------------------------------------
    Taxonomy Name        |    General Practice Dentistry
-----------------------------------------------------
    License Number       |    DENT.DE.70114469
-----------------------------------------------------
    License Number State |    WA
-----------------------------------------------------



                        

Copyright © 2007-2026 Data Labs Health. All rights reserved.