| Alaska Dental Group P.c. | |
|
3340 Providence Dr Ste 560 Providence Medical Office Bldg. Anchorage AK 99508-4643 | |
| (907) 562-6648 | |
| (907) 561-8385 |
| Full Name | Alaska Dental Group P.c. |
|---|---|
| Speciality | Dentist - General Practice |
| Location | 3340 Providence Dr Ste 560, Anchorage, Alaska |
| Authorized Official Name and Position | Mark James Mclean (OWNER) |
| Authorized Official Contact | 9075626648 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Alaska Dental Group P.c. 3340 Providence Dr Ste 560 Providence Medical Office Bldg. Anchorage AK 99508-4643 Ph: (907) 562-6648 | Alaska Dental Group P.c. 3340 Providence Dr Ste 560 Providence Medical Office Bldg. Anchorage AK 99508-4643 Ph: (907) 562-6648 |
| NPI Number | 1194875393 |
|---|---|
| Provider Enumeration Date | 01/11/2007 |
| Last Update Date | 08/22/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1194875393 | NPI | - | NPPES |
| 826322 | Other | AK | UNITED CONCORDIA |
| DD0888 | Medicaid | AK |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | 436733 (Alaska) | Primary |
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