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SMILES DENTAL GROUP PC NPI 1114387982


NPI Information

NPI: 1114387982
Provider Name: SMILES DENTAL GROUP, PC

Other Name: SMILES DENTAL GROUP, PC AK

Classification: Dentist - 1223G0001X
Entity Type: Organization

Specialization: General Practice

Address:
9138 ARLON ST
SUITE B1
ANCHORAGE, AK
ZIP 99507
Phone: (360) 261-6094
Get Directions

SMILES DENTAL GROUP, PC 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. SMILES DENTAL GROUP, PC NPI is 1114387982. The provider is registered as an organization entity type and is a multiple single specialty group.
The provider Other Name Is Smiles Dental Group, Pc Ak.

The provider's business location address is:

9138 ARLON ST
SUITE B1
ANCHORAGE, AK
ZIP 99507-876
Phone: (360) 261-6094
Fax: (360) 423-3343

The provider's authorized official is Stephen Tyler Shoemaker .
The authorized official title is Chief Dental Officer and has the following contact phone number (360) 261-6094.

The enumeration date for this NPI number is 3/7/2016 and was last updated on 3/7/2016.


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
1122300000XDentistNo
21223D0004XDentistDentist AnesthesiologistNo
31223E0200XDentistEndodonticsNo
41223P0300XDentistPeriodonticsNo
51223P0700XDentistProsthodonticsNo
61223X0400XDentistOrthodontics and Dentofacial OrthopedicsNo
7122400000XDenturistNo
8124Q00000XDental HygienistNo
9126800000XDental AssistantNo
101223G0001XDentistGeneral 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: 11/14/2023

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