DR. THOMAS RUSSELL BIRD D.D.S. NPI 1962579367

NPI Information

  • NPI: 1962579367
  • Provider Name: DR. THOMAS RUSSELL BIRD, D.D.S.
  • Classification: Dentist - 1223G0001X
  • Specialization: General Practice
  • Entity Type: Individual
  • Address: 11723 OLD GLENN HWY
    SUITE #207
    EAGLE RIVER, AK
    ZIP 99577
  • Phone: (907) 694-8610

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NPI Details

DR. Thomas Russell Bird, D.D.S. is a general practice dentist in Eagle River, 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. DR. Thomas Russell Bird, D.D.S. NPI is 1962579367. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

The provider's business location address is:

11723 OLD GLENN HWY
SUITE #207
EAGLE RIVER, AK
ZIP 99577-733
Phone: (907) 694-8610
Fax: (907) 694-8626

The enumeration date for this NPI number is 11/29/2006 and was last updated on 7/8/2007.

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 Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
11223G0001XDentistGeneral Practice387ALASKAYes

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
1DD0387MEDICAIDALASKA

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: 11/21/2025

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