PENINSULA DENTAL CENTER NPI 1093123879

NPI Information

NPI: 1093123879
Provider Name: PENINSULA DENTAL CENTER
Classification: Dentist - 1223G0001X
Entity Type: Organization

Specialization: General Practice

Address:
47707 JUDY LYNN LANE
SOLDOTNA, AK
ZIP 99669
Phone: (907) 283-9125
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PENINSULA DENTAL CENTER 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. PENINSULA DENTAL CENTER NPI is 1093123879. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

47707 JUDY LYNN LANE
SOLDOTNA, AK
ZIP 99669
Phone: (907) 283-9125
Fax: (907) 283-9184

The provider's authorized official is Justin David Paulson .
The authorized official title is Dentist and has the following contact phone number (907) 452-8296.

The enumeration date for this NPI number is 7/24/2014 and was last updated on 7/24/2014.

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 Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	1223G0001X	Dentist	General Practice	1572	ALASKA	Yes

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: 11/14/2023

NPI Synchronization or Removal

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