| George Jedlicka Dmd, Pc | |
|
44604 Sterling Hwy#d Soldotna AK 99669 | |
| (907) 260-4700 | |
| (907) 260-4004 |
| Full Name | George Jedlicka Dmd, Pc |
|---|---|
| Speciality | Dentist - General Practice |
| Location | 44604 Sterling Hwy#d, Soldotna, Alaska |
| Authorized Official Name and Position | George A Jedlicka (DENTIST) |
| Authorized Official Contact | 9072604700 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| George Jedlicka Dmd, Pc 44604 Sterling Hwy#d Soldotna AK 99669 Ph: (907) 260-4700 | George Jedlicka Dmd, Pc 44604 Sterling Hwy#d Soldotna AK 99669 Ph: (907) 260-4700 |
| NPI Number | 1760741177 |
|---|---|
| Provider Enumeration Date | 05/07/2012 |
| Last Update Date | 05/07/2012 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1760741177 | NPI | - | NPPES |
| DD11061 | Medicaid | AK |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | AK#1106 (Alaska) | Primary |
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