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SOLDOTNA FAMILY DENTAL NPI 1558852954


NPI Information

NPI: 1558852954
Provider Name: SOLDOTNA FAMILY DENTAL

Doing Business As: RIDGEWAY FAMILY DENTISTRY

Classification: Dentist - 1223G0001X
Entity Type: Organization

Specialization: General Practice

CLIA Number: 02D1046510

Address:
36297 KENAI SPUR HWY
SOLDOTNA, AK
ZIP 99669
Phone: (907) 262-8404
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SOLDOTNA FAMILY DENTAL is a general practice dentist in Soldotna, AK. The provider is a general dentist is the primary dental care provider for patients of all ages. The general dentist is responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs. SOLDOTNA FAMILY DENTAL NPI is 1558852954. The provider is registered as an organization entity type and is a single specialty group.
The provider Is Doing Business As Ridgeway Family Dentistry.

The provider's business location address is:

36297 KENAI SPUR HWY
SOLDOTNA, AK
ZIP 99669-106
Phone: (907) 262-8404

The provider's authorized official is Jenny Garcia .
The authorized official title is Credentialing Lead and has the following contact phone number (972) 869-3789.

The CLIA number assigned to this NPI record is 02D1046510 - community clinic with a certificate type of Certificate of Accreditation.

The enumeration date for this NPI number is 5/22/2018 and was last updated on 4/18/2023.


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
11223G0001XDentistGeneral PracticeYes

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

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.