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HARBOR VIEW DENTAL CARE LLC NPI 1467726463


NPI Profile

NPI: 1467726463
Provider Name: HARBOR VIEW DENTAL CARE, LLC
Classification:Dentist - 1223P0221X
Entity Type: Organization

Specialization: Pediatric Dentistry

Address:
712 W 12TH ST
JUNEAU, AK
ZIP 99801
Get Directions

Phone: (907) 586-1188

HARBOR VIEW DENTAL CARE, LLC is a pediatric dentistry dentist in Juneau, AK. The provider is an age-defined specialty that provides both primary and comprehensive preventive and therapeutic oral health care for infants and children through adolescence, including those with special health care needs. HARBOR VIEW DENTAL CARE, LLC NPI is 1467726463. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

712 W 12TH ST
JUNEAU, AK
ZIP 99801-574
Phone: (907) 586-1188
Fax: (907) 586-4408

The provider's authorized official is Jay Larry Call .
The authorized official title is Business Manager and has the following contact phone number (907) 602-4124.

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


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
11223P0221XDentistPediatric DentistryALASKAYes

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
1DD0082MEDICAIDALASKA

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: 4/11/2021

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