ARCTIC SLOPE NATIVE ASSOCIATION NPI 1528181971

NPI Information

NPI: 1528181971
Provider Name: ARCTIC SLOPE NATIVE ASSOCIATION

Doing Business As: SAMUEL SIMMONDS DENTAL

Classification: Clinic/Center - 261QD0000X
Entity Type: Organization

Specialization: Dental

Address:
1296 AGVIK ST
BARROW, AK
ZIP 99723
Phone: (907) 852-4611
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ARCTIC SLOPE NATIVE ASSOCIATION is a dental clinic center in Barrow, AK. ARCTIC SLOPE NATIVE ASSOCIATION NPI is 1528181971. The provider is registered as an organization entity type.
The provider Is Doing Business As Samuel Simmonds Dental.

The provider's business location address is:

1296 AGVIK ST
BARROW, AK
ZIP 99723
Phone: (907) 852-4611
Fax: (907) 852-9297

The provider's authorized official is Amanda Ashley-gaynor .
The authorized official title is Clinical Director Of Dental and has the following contact phone number (907) 852-4611.

The CLIA number assigned to this NPI record is 02D0641844 - hospital with a certificate type of Certificate of Accreditation.

The enumeration date for this NPI number is 4/9/2007 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 Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	261QD0000X	Clinic/Center	Dental	DD1010	ALASKA	Yes

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 Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	DD1010	MEDICAID	ALASKA

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

NPI Synchronization or Removal

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