Binkley Street Dental Clinic Pc | |
246 N Binkley Street Suite B Soldotna AK 99669-7522 | |
(907) 262-6393 | |
(907) 262-6244 |
Full Name | Binkley Street Dental Clinic Pc |
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Speciality | Dentist |
Location | 246 N Binkley Street, Soldotna, Alaska |
Authorized Official Name and Position | Thomas Allen Kobylarz (DENTIST) |
Authorized Official Contact | 9072626393 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
---|---|
Binkley Street Dental Clinic Pc 246 N Binkley Street Suite B Soldotna AK 99669-7522 Ph: (907) 262-6393 | Binkley Street Dental Clinic Pc 246 N Binkley Street Suite B Soldotna AK 99669-7522 Ph: (907) 262-6393 |
NPI Number | 1144425513 |
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Provider Enumeration Date | 06/18/2007 |
Last Update Date | 08/22/2020 |
Identifier | Type | State | Issuer |
---|---|---|---|
1144425513 | NPI | - | NPPES |
DD47171 | Medicaid | AK |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
122300000X | Dentist | 1091 (Alaska) | Primary |
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