Organization · NPI-2

Alaska Dental Group P.C.

Dentist, General Practice · Anchorage, AK

NPI number1194875393
StatusActive
Last updated in NPPESAug 22, 2020

Details

NPI
1194875393
Entity type
Organization (NPI-2)
Legal business name
Alaska Dental Group P.C.
Organization subpart
No
Enumeration date
Jan 11, 2007
Last updated
Aug 22, 2020

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
1223G0001X Dentist, General Practice436733AKYes

Other names

  • Mark J Mclean Dmd Ms PC (Former Legal Business Name)

Practice location

3340 Providence Dr Ste 560
Providence Medical Office Bldg.
Anchorage, AK 99508-4643

Phone 907-562-6648 · Fax 907-561-8385

Mailing address

3340 Providence Dr Ste 560
Providence Medical Office Bldg.
Anchorage, AK 99508-4643

Phone 907-562-6648 · Fax 907-561-8385

Authorized official

Mark James Mclean
Owner
9075626648

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