Organization · NPI-2

"gentle Dentistry" Jennifer Spivey DDS

Dentist, General Practice · Kodiak, AK

NPI number1306273446
StatusActive
Last updated in NPPESOct 3, 2013

Details

NPI
1306273446
Entity type
Organization (NPI-2)
Legal business name
"gentle Dentistry" Jennifer Spivey DDS
Organization subpart
No
Enumeration date
Oct 3, 2013
Last updated
Oct 3, 2013

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
1223G0001X Dentist, General Practice9221AKYes

Other names

  • Jennifer Spivey DDS PC (Other Name)

Practice location

204 Rezanof Dr E
Suite #201
Kodiak, AK 99615-6379

Phone 907-481-3567 · Fax 907-481-3564

Mailing address

204 East Rezanof Dr.
Ste. # 201
Kodiak, AK 99615

Phone 907-481-3567 · Fax 907-481-3564

Authorized official

Sinia Lokelani Maile
Office Manager
9074813567

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