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KIDSMILE LLC NPI 1881812824


NPI Information

NPI: 1881812824
Provider Name: KIDSMILE, LLC
Classification: Dentist - 1223P0221X
Entity Type: Organization

Specialization: Pediatric Dentistry

Address:
625 E 34TH AVE
SUITE 302
ANCHORAGE, AK
ZIP 99503
Phone: (907) 272-1144
Get Directions

KIDSMILE, LLC is a pediatric dentistry dentist in Anchorage, 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. KIDSMILE, LLC NPI is 1881812824. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

625 E 34TH AVE
SUITE 302
ANCHORAGE, AK
ZIP 99503-117
Phone: (907) 272-1144
Fax: (907) 272-1178

The provider's authorized official is Marie J English .
The authorized official title is Owner and has the following contact phone number (907) 272-1144.

The enumeration date for this NPI number is 4/23/2007 and was last updated on 12/5/2007.


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 Dentistry281107ALASKAYes

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
1DD10694MEDICAIDALASKA

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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