| Ketchikan Dental | |
|
130 Carlanna Lake Rd Ketchikan AK 99901-5669 | |
| (909) 967-8052 | |
| (907) 331-4220 |
| Full Name | Ketchikan Dental |
|---|---|
| Speciality | Dentist - General Practice |
| Location | 130 Carlanna Lake Rd, Ketchikan, Alaska |
| Authorized Official Name and Position | Tanner D Zylstra (OWNER) |
| Authorized Official Contact | 9099678052 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Ketchikan Dental 130 Carlanna Lake Rd Ketchikan AK 99901-5669 Ph: (909) 967-8052 | Ketchikan Dental 130 Carlanna Lake Rd Ketchikan AK 99901-5669 Ph: (909) 967-8052 |
| NPI Number | 1518720911 |
|---|---|
| Provider Enumeration Date | 01/30/2024 |
| Last Update Date | 01/30/2024 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1518720911 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | (* (Not Available)) | Primary |
Linsenmayer Dentistry, Llc Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 21 Jefferson Way Ste 102, Ketchikan, AK 99901 Phone: 907-220-9231 | |
Jason W. Evison, D.d.s., P.c. Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 1621 Tongass Ave, Suite 103, Ketchikan, AK 99901 Phone: 907-225-8228 | |
Kic Tribal Health Clinic Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 2960 Tongass Ave, Ketchikan, AK 99901 Phone: 907-228-9200 Fax: 800-887-8796 | |
Peter Emmons Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 130 Carlanna Lake Rd, Ketchikan, AK 99901 Phone: 832-726-6655 | |
David A Albertson Dds Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 130 Carlanna Lake Rd, Ketchikan, AK 99901 Phone: 907-225-9631 | |
Thomas B. Nordtvedt, Dds, Apc Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 1621 Tongass Ave, Suite 103, Ketchikan, AK 99901 Phone: 907-225-8228 Fax: 907-225-8224 |