Dental- Nikolai Dental Clinic | |
9105 Airport Drive Nikolai AK 99691 | |
(907) 293-2328 | |
Not Available |
Full Name | Dental- Nikolai Dental Clinic |
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Speciality | Dentist - General Practice |
Location | 9105 Airport Drive, Nikolai, Alaska |
Authorized Official Name and Position | Ronald Lee Olsen (EXECUTIVE VICE PRESIDENT FINANCE) |
Authorized Official Contact | 9077294939 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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Dental- Nikolai Dental Clinic Po Box 35151 Seattle WA 98124-5151 Ph: () - | Dental- Nikolai Dental Clinic 9105 Airport Drive Nikolai AK 99691 Ph: (907) 293-2328 |
NPI Number | 1124575022 |
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Provider Enumeration Date | 09/08/2016 |
Last Update Date | 09/01/2023 |
Identifier | Type | State | Issuer |
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1124575022 | NPI | - | NPPES |
1654551 | Medicaid | AK |
Taxonomy | Type | License (State) | Status |
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1223G0001X | Dentist - General Practice | 20467 (Alaska) | Primary |