| Kodiak Island Family Dentistry | |
|
204 E Rezanof Dr Ste 201 Kodiak AK 99615-6379 | |
| (907) 481-3567 | |
| Not Available |
| Full Name | Kodiak Island Family Dentistry |
|---|---|
| Speciality | Clinic/center - Dental |
| Location | 204 E Rezanof Dr Ste 201, Kodiak, Alaska |
| Authorized Official Name and Position | Tabitha Leiva (OFFICE MANAGER) |
| Authorized Official Contact | 9074813567 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Kodiak Island Family Dentistry 204 E Rezanof Dr Ste 201 Kodiak AK 99615-6379 Ph: (907) 481-3567 | Kodiak Island Family Dentistry 204 E Rezanof Dr Ste 201 Kodiak AK 99615-6379 Ph: (907) 481-3567 |
| NPI Number | 1811568900 |
|---|---|
| Provider Enumeration Date | 07/08/2021 |
| Last Update Date | 07/08/2021 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1811568900 | NPI | - | NPPES |
| 1437243326 | Medicaid | AK | |
| 1326421850 | Medicaid | AK | |
| 1639787021 | Medicaid | AK |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QD0000X | Clinic/center - Dental | (* (Not Available)) | Primary |
Family Dentistry Of Kodiak Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 1317 Mill Bay Rd, Kodiak, AK 99615 Phone: 907-486-3291 Fax: 907-486-9896 | |
Bridgeview Dental Group Llc Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 413 Rezanof Dr E, Kodiak, AK 99615 Phone: 907-622-7874 Fax: 907-622-7872 | |
Jennifer Spivey Dds Pc Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 204 Rezanof Dr E, Suite #201, Kodiak, AK 99615 Phone: 907-481-3567 Fax: 907-481-3564 | |
Nathan M Faber Dmd Pc Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 413 E Rezanof Dr, Kodiak, AK 99615 Phone: 907-486-3257 | |
Carrie Randolph D.d.s. Inc. Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 506 W Marine Way, Kodiak, AK 99615 Phone: 907-486-3269 | |
Nathan M. Faber Dmd Pc Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 413 E Rezanof Dr, Kodiak, AK 99615 Phone: 907-486-3257 | |
James R. Arneson, Dds,inc Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 506 W Marine Way, Kodiak, AK 99615 Phone: 907-486-3269 Fax: 907-486-3260 |