| Eric P. Buetow, D.d.s., P.c. | |
|
2933 Horseshoe Way North Pole AK 99705-6122 | |
| (907) 488-0861 | |
| Not Available |
| Full Name | Eric P. Buetow, D.d.s., P.c. |
|---|---|
| Speciality | Dentist - General Practice |
| Location | 2933 Horseshoe Way, North Pole, Alaska |
| Authorized Official Name and Position | Kathleen Madden (OFFICE ADMINISTRATOR) |
| Authorized Official Contact | 9074880861 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Eric P. Buetow, D.d.s., P.c. Po Box 56258 North Pole AK 99705-1258 Ph: (907) 488-0861 | Eric P. Buetow, D.d.s., P.c. 2933 Horseshoe Way North Pole AK 99705-6122 Ph: (907) 488-0861 |
| NPI Number | 1861681959 |
|---|---|
| Provider Enumeration Date | 10/15/2007 |
| Last Update Date | 10/15/2007 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1861681959 | NPI | - | NPPES |
| DDO523 | Medicaid | AK |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | 523 (Alaska) | Primary |
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