DR. ROSEANN MARIE DAMERON DDS
NPI 1770847642
Dentist - Dental Public Health in Fairbanks, AK

Q: What is Roseann Dameron's NPI number?

The NPI number for Roseann Dameron is 1770847642. It was assigned to this individual provider in the NPPES registry on June 26, 2012. The provider is also known as Mrs. Roseann Marie Wallace.

Q: What is Roseann Dameron's specialty?

The primary specialty registered for this NPI is Dentist, specializing in Dental Public Health, with taxonomy code 1223D0001X.

Q: When was this NPI record last updated?

The NPPES record for Roseann Dameron was last updated on February 18, 2013. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 13 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.

Active since June 26, 2012PECOS Enrolled

1717 WEST COWLES STREET, FAIRBANKS, AK 99701(907) 452-8251(907) 459-3837 Get Directions Write a Review

NPPES record last updated: February 18, 2013. Verified against the NPPES registry weekly; last sync: August 09, 2026.

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About Dr. Roseann Marie Dameron Dds NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

DR. ROSEANN MARIE DAMERON DDS (NPI 1770847642) is an individual dental public health provider in Fairbanks, Alaska, licensed in Oklahoma (6384) and active in the NPI registry since June 2012. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1770847642

Entity TypeIndividualFemale

Primary Taxonomy1223D0001X

Provider Legal NameDR. ROSEANN MARIE DAMERONCredential: DDS

Location Address1717 WEST COWLES STREETFairbanks, AK 99701-4803

Mailing Address1140 Pickering DrFairbanks, AK 99709-5762 · (918) 706-3640 · Fax (918) 619-6180

Phone(907) 452-8251

Fax(907) 459-3837

Sole ProprietorNo

Enumeration DateJune 26, 2012

Last NPPES UpdateFebruary 18, 2013

✔ NPI 1770847642 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDentist · Dental Public HealthDental Providers

Taxonomy Code1223D0001X

License✔ Licensed in OK · 6384

Definition

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.

1717 WEST COWLES STREET, Fairbanks, AK 99701

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Other Names 1

Former Name (1)Mrs. Roseann Marie Wallace

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Dr. Roseann Marie Dameron Dds is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency– Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 99701 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient

$111.57 typical visit price

range $71.33 – $222.64

Typical copayment $27.89 (range $17.83 – $55.66)

Most-billed visit code 99203

Established Patient

$90.40 typical visit price

range $21.84 – $181.48

Typical copayment $22.60 (range $5.46 – $45.37)

Most-billed visit code 99213

Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Other Providers at the Same Location NPPES 3

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

MICHAEL J ROYLANCE PA-C

Physician Assistant

1717 WEST COWLES STREET
FAIRBANKS, AK 99701

Fairbanks North Star Borough (907) 378-1997

KIMBERLEY ANN BLOOD RD, CDE

Dietitian, Registered

1717 WEST COWLES STREET
FAIRBANKS, AK 99701

Fairbanks North Star Borough (907) 451-6682

MR. DALE WELSH PA-C

Psychiatry & Neurology (Brain Injury Medicine)

1717 WEST COWLES STREET
FAIRBANKS, AK 99701

Fairbanks North Star Borough (907) 451-6682

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Roseann Dameron's NPI number?

The NPI number for Roseann Dameron is 1770847642. It was assigned to this individual provider in the NPPES registry on June 26, 2012. The provider is also known as Mrs. Roseann Marie Wallace.

Where is Roseann Dameron located?

Roseann Dameron practices at 1717 West Cowles Street, Fairbanks, AK 99701. The listed phone number is (907) 452-8251.

What is Roseann Dameron's specialty?

The primary specialty registered for this NPI is Dentist, specializing in Dental Public Health, with taxonomy code 1223D0001X.

Is Roseann Dameron enrolled in Medicare?

Yes. Roseann Dameron is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Roseann Dameron was last updated on February 18, 2013. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 13 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.