Frontier Dental, Llc | |
3650 Lake Otis Pkwy Ste 102 Anchorage AK 99508-5218 | |
(907) 563-3820 | |
Not Available |
Full Name | Frontier Dental, Llc |
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Speciality | Dentist - General Practice |
Location | 3650 Lake Otis Pkwy, Anchorage, Alaska |
Authorized Official Name and Position | Ken Oldham (DENTIST) |
Authorized Official Contact | 9075635820 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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Frontier Dental, Llc 3650 Lake Otis Pkwy Ste 102 Anchorage AK 99508-5218 Ph: (907) 563-5820 | Frontier Dental, Llc 3650 Lake Otis Pkwy Ste 102 Anchorage AK 99508-5218 Ph: (907) 563-3820 |
NPI Number | 1164685806 |
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Provider Enumeration Date | 07/02/2008 |
Last Update Date | 07/08/2008 |
Identifier | Type | State | Issuer |
---|---|---|---|
1164685806 | NPI | - | NPPES |
DD7070 | Medicaid | AK |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
1223G0001X | Dentist - General Practice | AA707 (Alaska) | Primary |
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