Organization · NPI-2
Advanced Dental Solutions, INC.
Dentist, General Practice · Anchorage, AK
NPI number1215021795
StatusActive
Last updated in NPPESAug 11, 2020
Details
- NPI
- 1215021795
- Entity type
- Organization (NPI-2)
- Legal business name
- Advanced Dental Solutions, INC.
- Organization subpart
- No
- Enumeration date
- Oct 2, 2006
- Certification date
- Aug 11, 2020
- Last updated
- Aug 11, 2020
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 1223G0001X | Dentist, General Practice | – | – | Yes |
Other names
- Smiles, INC. (Former Legal Business Name)
Practice location
615 E 82nd AvenueSuite 100
Anchorage, AK 99518
Phone 907-562-1686 · Fax 907-563-6484
Mailing address
615 E 82nd AvenueSuite 100
Anchorage, AK 99518
Phone 907-562-1686 · Fax 907-563-6484
Authorized official
Dale F. Burke
President
9075621686
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