ERIC NORDSTROM DDS MD INC NPI 1285410340

NPI Information

  • NPI: 1285410340
  • Provider Name: ERIC NORDSTROM DDS, MD, INC
  • Classification: Clinic/Center - 261QA1903X
  • Specialization: Ambulatory Surgical
  • Entity Type: Organization
  • :
  • CLIA Number: 02D2173950
  • Address: 3909 ARCTIC BLVD STE 404
    ANCHORAGE, AK
    ZIP 99503
  • Phone: (907) 222-5052

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NPI Details

ERIC NORDSTROM DDS, MD, INC is an ambulatory surgical clinic center in Anchorage, AK. ERIC NORDSTROM DDS, MD, INC NPI is 1285410340. The provider is registered as an organization entity type and is a multi-specialty group.
The provider .

The provider's business location address is:

3909 ARCTIC BLVD STE 404
ANCHORAGE, AK
ZIP 99503-769
Phone: (907) 222-5052
Fax: (907) 222-5051

The provider's authorized official is Eric Nordstrom .
The authorized official title is Medical Director and has the following contact phone number (907) 222-5052.

The CLIA number assigned to this NPI record is 02D2173950 - practitioner other with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 9/5/2023 and was last updated on 7/25/2025.

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 Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1163W00000XRegistered NurseNo
2261QA1903XClinic/CenterAmbulatory SurgicalYes

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: 11/21/2025

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