Alaska Dental Outreach Consortium
Dentist in Anchorage, AK. Organization (NPI-2).
NPI number1356677751
StatusActive
Last updated in NPPESOct 20, 2009
Details
- NPI
- 1356677751
- Entity type
- Organization (NPI-2)
- Legal business name
- Alaska Dental Outreach Consortium
- Organization subpart
- No
- Enumeration date
- Oct 20, 2009
- Last updated
- Oct 20, 2009
Medicare and OIG
- Medicare enrolled (PECOS)
- Not in the Medicare enrollment file
- Can order and refer
- Not on the CMS order and referring list
- OIG exclusion list
- This NPI is not listed
CMS and OIG files of November 2026. PECOS lookup · OIG exclusion check
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 122300000X | Dentist | – | – | Yes |
Practice location
9170 Jewel Lake Rd Ste 203Anchorage, AK 99502-5390
Phone 907-563-3011 · Fax 907-563-3009
Mailing address
9170 Jewel Lake Rd Ste 203Anchorage, AK 99502-5390
Phone 907-563-3011 · Fax 907-563-3009
Authorized official
James Richard Towle
Secretary Of The Board Of Directors
9075633011
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