| Four Corners Dental Group | |
|
3901 Raspberry Rd Anchorage AK 99502-1973 | |
| (907) 258-3384 | |
| (907) 258-3390 |
| Full Name | Four Corners Dental Group |
|---|---|
| Speciality | Clinic/center - Dental |
| Location | 3901 Raspberry Rd, Anchorage, Alaska |
| Authorized Official Name and Position | Pete B Higgins (DENTIST) |
| Authorized Official Contact | 9072583384 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Four Corners Dental Group 3901 Raspberry Rd Anchorage AK 99502-1973 Ph: (907) 258-3384 | Four Corners Dental Group 3901 Raspberry Rd Anchorage AK 99502-1973 Ph: (907) 258-3384 |
| NPI Number | 1568540946 |
|---|---|
| Provider Enumeration Date | 11/01/2006 |
| Last Update Date | 05/12/2014 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1568540946 | NPI | - | NPPES |
| DD10121 | Medicaid | AK |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QD0000X | Clinic/center - Dental | 1012 (Alaska) | Primary |
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