Arctic Slope Native Association
Clinic/Center, Dental in Barrow, AK. Organization (NPI-2).
NPI number1528181971
StatusActive
Last updated in NPPESAug 22, 2020
Details
- NPI
- 1528181971
- Entity type
- Organization (NPI-2)
- Legal business name
- Arctic Slope Native Association
- Organization subpart
- No
- Enumeration date
- Apr 9, 2007
- Last updated
- Aug 22, 2020
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 261QD0000X | Clinic/Center, Dental | DD1010 | AK | Yes |
Other names
- Samuel Simmonds Dental (Doing Business As)
Practice location
1296 Agvik StBarrow, AK 99723
Phone 907-852-4611 · Fax 907-852-9297
Mailing address
Po Box 291296 Agvik St
Barrow, AK 99723-0029
Phone 907-852-4611 · Fax 907-852-9297
Authorized official
Amanda Ashley-Gaynor
Clinical Director Of Dental
9078524611
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