| Alaska Family Dental Llc | |
|
405 W 36th Ave Ste 101 Anchorage AK 99503-5872 | |
| (907) 562-0958 | |
| (907) 562-6425 |
| Full Name | Alaska Family Dental Llc |
|---|---|
| Speciality | Clinic/center - Dental |
| Location | 405 W 36th Ave Ste 101, Anchorage, Alaska |
| Authorized Official Name and Position | Nicholas W Feldman (PRESIDENT) |
| Authorized Official Contact | 9075620958 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Alaska Family Dental Llc 405 W 36th Ave Ste 101 Anchorage AK 99503-5872 Ph: (907) 562-0958 | Alaska Family Dental Llc 405 W 36th Ave Ste 101 Anchorage AK 99503-5872 Ph: (907) 562-0958 |
| NPI Number | 1932664877 |
|---|---|
| Provider Enumeration Date | 02/05/2019 |
| Last Update Date | 02/05/2019 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1932664877 | NPI | - | NPPES |
| DDO559 | Medicaid | AK |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QD0000X | Clinic/center - Dental | (* (Not Available)) | Primary |
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