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ALASKA CENTER FOR DENTISTRY PC NPI 1770809519


NPI Information

NPI: 1770809519
Provider Name: ALASKA CENTER FOR DENTISTRY, PC
Classification: Dentist - 1223G0001X
Entity Type: Organization

Specialization: General Practice

Address:
418 N MAIN ST
WASILLA, AK
ZIP 99654
Phone: (907) 373-8455
Get Directions

ALASKA CENTER FOR DENTISTRY, PC is a general practice dentist in Wasilla, AK. The provider is a general dentist is the primary dental care provider for patients of all ages. The general dentist is responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs. ALASKA CENTER FOR DENTISTRY, PC NPI is 1770809519. The provider is registered as an organization entity type and is a multi-specialty group.

The provider's business location address is:

418 N MAIN ST
WASILLA, AK
ZIP 99654-018
Phone: (907) 373-8455
Fax: (907) 373-8456

The provider's authorized official is Charles Michael Sage .
The authorized official title is Owner/dentist and has the following contact phone number (907) 373-8455.

The enumeration date for this NPI number is 4/19/2010 and was last updated on 4/19/2010.


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
11223G0001XDentistGeneral Practice1320ALASKANo
21223G0001XDentistGeneral Practice939ALASKAYes

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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