| Alyeska Pediatric Dentistry, Llc | |
|
4200 Lake Otis Pkwy Ste 201 Anchorage AK 99508-5226 | |
| (907) 562-1003 | |
| (907) 562-1006 |
| Full Name | Alyeska Pediatric Dentistry, Llc |
|---|---|
| Speciality | Dentist - Pediatric Dentistry |
| Location | 4200 Lake Otis Pkwy Ste 201, Anchorage, Alaska |
| Authorized Official Name and Position | Easte Warnick (OWNER/PEDIATRIC DENTIST) |
| Authorized Official Contact | 7028127861 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Alyeska Pediatric Dentistry, Llc 3818 Westminster Way Anchorage AK 99508-4834 Ph: (702) 812-7861 | Alyeska Pediatric Dentistry, Llc 4200 Lake Otis Pkwy Ste 201 Anchorage AK 99508-5226 Ph: (907) 562-1003 |
| NPI Number | 1194471672 |
|---|---|
| Provider Enumeration Date | 02/23/2022 |
| Last Update Date | 02/23/2022 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1194471672 | NPI | - | NPPES |
| 1730591298 | Medicaid | AK |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223P0221X | Dentist - Pediatric Dentistry | (* (Not Available)) | Primary |
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