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FRONTIER DENTAL LLC NPI 1164685806


NPI Information

NPI: 1164685806
Provider Name: FRONTIER DENTAL, LLC
Classification: Dentist - 1223G0001X
Entity Type: Organization

Specialization: General Practice

Address:
3650 LAKE OTIS PKWY
STE 102
ANCHORAGE, AK
ZIP 99508
Phone: (907) 563-3820
Get Directions

FRONTIER DENTAL, LLC 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. FRONTIER DENTAL, LLC NPI is 1164685806. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

3650 LAKE OTIS PKWY
STE 102
ANCHORAGE, AK
ZIP 99508-218
Phone: (907) 563-3820

The provider's authorized official is Ken Oldham .
The authorized official title is Dentist and has the following contact phone number (907) 563-5820.

The enumeration date for this NPI number is 7/2/2008 and was last updated on 7/8/2008.


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 PracticeAA707ALASKAYes

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
1DD7070MEDICAIDALASKA

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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