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LAKEVIEW PROFESSIONAL DENTAL ASSOCIATES INC. NPI 1720116601


NPI Information

NPI: 1720116601
Provider Name: LAKEVIEW PROFESSIONAL DENTAL ASSOCIATES INC.
Classification: Dentist - 122300000X
Entity Type: Organization
Address:
851 WESTPOINT DR
SUITE 112
WASILLA, AK
ZIP 99654
Phone: (907) 376-4415
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LAKEVIEW PROFESSIONAL DENTAL ASSOCIATES INC. is a dentist in Wasilla, AK. The provider is a dentist is a person qualified by a doctorate in dental surgery (D.D.S.) or dental medicine (D.M.D.), licensed by the state to practice dentistry, and practicing within the scope of that license. There is no difference between the two degrees: dentists who have a DMD or DDS have the same education. Universities have the prerogative to determine what degree is awarded. Both degrees use the same curriculum requirements set by the American Dental Association's Commission on Dental Accreditation. Generally, three or more years of undergraduate education plus four years of dental school is required to graduate and become a general dentist. State licensing boards accept either degree as equivalent, and both degrees allow licensed individuals to practice the same scope of general dentistry. Additional post-graduate training is required to become a dental specialist. LAKEVIEW PROFESSIONAL DENTAL ASSOCIATES INC. NPI is 1720116601. The provider is registered as an organization entity type and is a multi-specialty group.

The provider's business location address is:

851 WESTPOINT DR
SUITE 112
WASILLA, AK
ZIP 99654-142
Phone: (907) 376-4415
Fax: (907) 373-0589

The provider's authorized official is Jean Kingslien .
The authorized official title is Director Secretary Treasurer and has the following contact phone number (907) 346-2625.

The enumeration date for this NPI number is 3/1/2007 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
1122300000XDentist348ALASKAYes

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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