| Anchorage Pediatric Dentistry, Inc | |
|
4200 Lake Otis Pkwy Suite 102 Anchorage AK 99508-5226 | |
| (907) 562-1003 | |
| Not Available |
| Full Name | Anchorage Pediatric Dentistry, Inc |
|---|---|
| Speciality | Dentist - Pediatric Dentistry |
| Location | 4200 Lake Otis Pkwy, Anchorage, Alaska |
| Authorized Official Name and Position | James Brant Darby (PEDIATRIC DENTIST/OWNER) |
| Authorized Official Contact | 9072290629 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Anchorage Pediatric Dentistry, Inc 4200 Lake Otis Pkwy Suite 102 Anchorage AK 99508-5226 Ph: (907) 562-1003 | Anchorage Pediatric Dentistry, Inc 4200 Lake Otis Pkwy Suite 102 Anchorage AK 99508-5226 Ph: (907) 562-1003 |
| NPI Number | 1417267337 |
|---|---|
| Provider Enumeration Date | 10/13/2010 |
| Last Update Date | 10/13/2010 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1417267337 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223P0221X | Dentist - Pediatric Dentistry | D137 (Alaska) | Primary |
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