Organization · NPI-2
Alaska Dental Care, LLC.
Dentist, General Practice · Anchorage, AK
NPI number1851664858
StatusActive
Last updated in NPPESFeb 22, 2012
Details
- NPI
- 1851664858
- Entity type
- Organization (NPI-2)
- Legal business name
- Alaska Dental Care, LLC.
- Organization subpart
- No
- Enumeration date
- Feb 22, 2012
- Last updated
- Feb 22, 2012
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 1223G0001X | Dentist, General Practice | 875 | AK | Yes |
| 1223G0001X | Dentist, General Practice | 253 | AK | |
| 1223G0001X | Dentist, General Practice | 1274 | AK |
Practice location
4000 Old Seward HwySuite #100
Anchorage, AK 99503
Phone 907-561-3639 · Fax 907-562-5337
Mailing address
4000 Old Seward HwySuite #100
Anchorage, AK 99503
Phone 907-561-3639 · Fax 907-562-5337
Authorized official
Brett Michael Gardiner
Owner/Dentist
9075613639
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