Kevin M Easley Dmd Pc | |
3003 Minnesota Dr Ste 200 Anchorage AK 99503-3673 | |
(907) 248-0022 | |
(907) 677-2552 |
Full Name | Kevin M Easley Dmd Pc |
---|---|
Speciality | Dentist |
Location | 3003 Minnesota Dr, Anchorage, Alaska |
Authorized Official Name and Position | Kevin M Easley (PRESIDENT) |
Authorized Official Contact | 9072480022 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
---|---|
Kevin M Easley Dmd Pc 3003 Minnesota Dr Ste 200 Anchorage AK 99503-3673 Ph: (907) 248-0022 | Kevin M Easley Dmd Pc 3003 Minnesota Dr Ste 200 Anchorage AK 99503-3673 Ph: (907) 248-0022 |
NPI Number | 1841533155 |
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Provider Enumeration Date | 04/04/2013 |
Last Update Date | 09/26/2013 |
Medicare PECOS PAC ID | 2365685336 |
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Medicare Enrollment ID | O20130823001068 |
Identifier | Type | State | Issuer |
---|---|---|---|
1841533155 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
122300000X | Dentist | 994 (Alaska) | Primary |
332BC3200X | Durable Medical Equipment & Medical Supplies - Customized Equipment | (* (Not Available)) | Secondary |
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