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ALASKA CENTER FOR CLEFT AND CRANIOFACIAL SURGERY LLC NPI 1508385253


NPI Information

NPI: 1508385253
Provider Name: ALASKA CENTER FOR CLEFT AND CRANIOFACIAL SURGERY, LLC
Classification: Oral & Maxillofacial Surgery - 204E00000X
Entity Type: Organization
Address:
3909 ARTIC BLVD STE 404
ANCHORAGE, AK
ZIP 99503
Phone: (907) 222-5052
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ALASKA CENTER FOR CLEFT AND CRANIOFACIAL SURGERY, LLC is an oral maxillofacial surgery in Anchorage, AK. The provider is oral and maxillofacial surgeons are trained to recognize and treat a wide spectrum of diseases, injuries and defects in the head, neck, face, jaws and the hard and soft tissues of the oral and maxillofacial region. They are also trained to administer anesthesia, and provide care in an office setting. They are trained to treat problems such as the extraction of wisdom teeth, misaligned jaws, tumors and cysts of the jaw and mouth, and to perform dental implant surgery. ALASKA CENTER FOR CLEFT AND CRANIOFACIAL SURGERY, LLC NPI is 1508385253. The provider is registered as an organization entity type and is a multi-specialty group.

The provider's business location address is:

3909 ARTIC BLVD STE 404
ANCHORAGE, AK
ZIP 99503-769
Phone: (907) 222-5052
Fax: (907) 222-5051

The provider's authorized official is Jason Dashow .
The authorized official title is Surgeon and has the following contact phone number (907) 222-5052.

The enumeration date for this NPI number is 9/13/2017 and was last updated on 7/21/2022.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
12086S0120XSurgeryPediatric SurgeryNo
2204E00000XOral & Maxillofacial SurgeryYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

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