Provider Demographics
NPI:1689033797
Name:ATHER, AMBER (DDS)
Entity Type:Individual
Prefix:DR
First Name:AMBER
Middle Name:
Last Name:ATHER
Suffix:
Gender:M
Credentials:DDS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:909 WALNUT ST
Mailing Address - Street 2:#2205
Mailing Address - City:KANSAS CITY
Mailing Address - State:MO
Mailing Address - Zip Code:64106-2038
Mailing Address - Country:US
Mailing Address - Phone:720-550-1575
Mailing Address - Fax:
Practice Address - Street 1:204 STATE HIGHWAY 35 S
Practice Address - Street 2:SMILE EXPERTS PLLC
Practice Address - City:PORT LAVACA
Practice Address - State:TX
Practice Address - Zip Code:77979-2404
Practice Address - Country:US
Practice Address - Phone:361-482-0458
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2016-02-17
Last Update Date:2016-02-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX316791223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223G0001XDental ProvidersDentistGeneral Practice