YUKON KUSKOKWIM HEALTH CORP NPI 1720202187

NPI Information

YUKON KUSKOKWIM HEALTH CORP is an endodontics dentist in Bethel, AK. The provider is the branch of dentistry that is concerned with the morphology, physiology and pathology of the human dental pulp and periradicular tissues. Its study and practice encompass the basic and clinical sciences including biology of the normal pulp, the etiology, diagnosis, prevention and treatment of diseases and injuries of the pulp and associated periradicular conditions. YUKON KUSKOKWIM HEALTH CORP NPI is 1720202187. The provider is registered as an organization entity type and is a multi-specialty group.

The provider's business location address is:

829 CHIEF EDDIE HOFFMAN HWY
SUITE 340
BETHEL, AK
ZIP 99559
Phone: (907) 543-6000
Fax: (907) 543-6117

The provider's authorized official is Gene Peltola .
The authorized official title is Ceo and has the following contact phone number (907) 543-6020.

The enumeration date for this NPI number is 4/13/2007 and was last updated on 3/3/2008.

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:

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

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