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MOLAR BEAR PEDIATRIC DENTISTRY LLC NPI 1093326308


NPI Information

NPI: 1093326308
Provider Name: MOLAR BEAR PEDIATRIC DENTISTRY LLC
Classification: Dentist - 1223P0221X
Entity Type: Organization

Specialization: Pediatric Dentistry

Address:
609 S KNIK GOOSE BAY RD STE D
WASILLA, AK
ZIP 99654
Phone: (907) 376-6527
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MOLAR BEAR PEDIATRIC DENTISTRY LLC is a pediatric dentistry dentist in Wasilla, AK. The provider is an age-defined specialty that provides both primary and comprehensive preventive and therapeutic oral health care for infants and children through adolescence, including those with special health care needs. MOLAR BEAR PEDIATRIC DENTISTRY LLC NPI is 1093326308. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

609 S KNIK GOOSE BAY RD STE D
WASILLA, AK
ZIP 99654-079
Phone: (907) 376-6527

The provider's authorized official is Christopher G Rosenvall .
The authorized official title is Ceo and has the following contact phone number (801) 592-7595.

The enumeration date for this NPI number is 8/11/2020 and was last updated on 8/11/2020.


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
11223P0221XDentistPediatric DentistryYes

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

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