Organization · NPI-2

Alaska Dental Center

Dentist, General Practice · Anchorage, AK

NPI number1619190980
StatusActive
Last updated in NPPESAug 22, 2020

Details

NPI
1619190980
Entity type
Organization (NPI-2)
Legal business name
Alaska Dental Center
Organization subpart
No
Enumeration date
Apr 11, 2007
Last updated
Aug 22, 2020

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
1223G0001X Dentist, General Practice0582AKYes

Practice location

322 Muldoon Rd
C
Anchorage, AK 99504-1504

Phone 907-337-9434 · Fax 907-333-5112

Mailing address

322 Muldoon Rd
C
Anchorage, AK 99504-1504

Phone 907-337-9434 · Fax 907-333-5112

Authorized official

Stephen R Libby
Dentist Owner
9073379434

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