| Anchorage Dental Care, Llc | |
|
4200 Lake Otis Pkwy 201 Anchorage AK 99508-5226 | |
| (907) 562-0035 | |
| Not Available |
| Full Name | Anchorage Dental Care, Llc |
|---|---|
| Speciality | Dentist |
| Location | 4200 Lake Otis Pkwy, Anchorage, Alaska |
| Authorized Official Name and Position | Stephan G Howard (OWNER DENTIST) |
| Authorized Official Contact | 9075620035 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Anchorage Dental Care, Llc 4200 Lake Otis Pkwy 201 Anchorage AK 99508-5226 Ph: (907) 562-0035 | Anchorage Dental Care, Llc 4200 Lake Otis Pkwy 201 Anchorage AK 99508-5226 Ph: (907) 562-0035 |
| NPI Number | 1669861753 |
|---|---|
| Provider Enumeration Date | 01/13/2015 |
| Last Update Date | 01/13/2015 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1669861753 | NPI | - | NPPES |
| 1002878 | Medicaid | AK |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 122300000X | Dentist | 1328 (Alaska) | Primary |
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