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FAMILY MEDICAL DENTAL CENTER OF ALASKA INC NPI 1104996214


NPI Information

NPI: 1104996214
Provider Name: FAMILY MEDICAL DENTAL CENTER OF ALASKA INC
Classification: Dentist - 1223G0001X
Entity Type: Organization

Specialization: General Practice

Address:
4361 BONIFACE PKWY
ANCHORAGE, AK
ZIP 99504
Phone: (907) 333-1211
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FAMILY MEDICAL DENTAL CENTER OF ALASKA INC is a general practice dentist in Anchorage, 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. FAMILY MEDICAL DENTAL CENTER OF ALASKA INC NPI is 1104996214. The provider is registered as an organization entity type and is a multi-specialty group.

The provider's business location address is:

4361 BONIFACE PKWY
ANCHORAGE, AK
ZIP 99504-316
Phone: (907) 333-1211
Fax: (907) 333-8600

The provider's authorized official is Meledath Gopinath .
The authorized official title is President and has the following contact phone number (425) 869-2238.

The enumeration date for this NPI number is 11/8/2006 and was last updated on 3/1/2012.


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 Practice29368ALASKAYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.Other Provider IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
129368OTHERALASKASTATE LICENSE

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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