Organization · NPI-2

Alaska Center For Dentistry Anchorage, PC

Dentist, General Practice · Anchorage, AK

NPI number1487923819
StatusActive
Last updated in NPPESDec 13, 2011

Details

NPI
1487923819
Entity type
Organization (NPI-2)
Legal business name
Alaska Center For Dentistry Anchorage, PC
Organization subpart
No
Enumeration date
Dec 13, 2011
Last updated
Dec 13, 2011

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
1223G0001X Dentist, General Practice919176AKYes

Practice location

3708 Rhone Cir
Anchorage, AK 99508-5000

Phone 907-562-2512 · Fax 907-562-6080

Mailing address

3708 Rhone Cir
Anchorage, AK 99508-5000

Phone 907-562-2512 · Fax 907-562-6080

Authorized official

Charles Michael Sage
Owner/Dentist
9075622512

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