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ALASKA DENTAL GROUP P.C. NPI 1194875393


NPI Information

NPI: 1194875393
Provider Name: ALASKA DENTAL GROUP P.C.

Former Legal Business Name: MARK J MCLEAN DMD MS PC

Classification: Dentist - 1223G0001X
Entity Type: Organization

Specialization: General Practice

Address:
3340 PROVIDENCE DR STE 560
PROVIDENCE MEDICAL OFFICE BLDG.
ANCHORAGE, AK
ZIP 99508
Phone: (907) 562-6648
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ALASKA DENTAL GROUP P.C. 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. ALASKA DENTAL GROUP P.C. NPI is 1194875393. The provider is registered as an organization entity type and is a multi-specialty group.
The provider Former Legal Business Name Is Mark J Mclean Dmd Ms Pc.

The provider's business location address is:

3340 PROVIDENCE DR STE 560
PROVIDENCE MEDICAL OFFICE BLDG.
ANCHORAGE, AK
ZIP 99508-643
Phone: (907) 562-6648
Fax: (907) 561-8385

The provider's authorized official is Mark James Mclean .
The authorized official title is Owner and has the following contact phone number (907) 562-6648.

The enumeration date for this NPI number is 1/11/2007 and was last updated on 8/22/2020.


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
11223G0001XDentistGeneral Practice436733ALASKAYes

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
1826322OTHERALASKAUNITED CONCORDIA
2DD0888MEDICAIDALASKA

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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