KODIAK AREA NATIVE ASSOCIATION NPI 1093213167

NPI Information

NPI: 1093213167
Provider Name: KODIAK AREA NATIVE ASSOCIATION

Other Name: FAMILY DENTISTRY OF KODIAK

Classification: Clinic/Center - 261QD0000X
Entity Type: Organization

Specialization: Dental

Address:
1317 MILL BAY RD
KODIAK, AK
ZIP 99615
Phone: (907) 486-3291
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KODIAK AREA NATIVE ASSOCIATION is a dental clinic center in Kodiak, AK. KODIAK AREA NATIVE ASSOCIATION NPI is 1093213167. The provider is registered as an organization entity type.
The provider Other Name Is Family Dentistry Of Kodiak.

The provider's business location address is:

1317 MILL BAY RD
KODIAK, AK
ZIP 99615-411
Phone: (907) 486-3291
Fax: (907) 486-9896

The provider's authorized official is Michael Pfeffer .
The authorized official title is Chief Operating Officer and has the following contact phone number (907) 486-9800.

The enumeration date for this NPI number is 1/24/2018 and was last updated on 1/24/2018.

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	261QD0000X	Clinic/Center	Dental			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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