| North Star Dental Clinic | |
|
201 3rd Avenue Suite 115 Seward AK 99664 | |
| (907) 224-4925 | |
| (907) 224-4933 |
| Full Name | North Star Dental Clinic |
|---|---|
| Speciality | Clinic/center - Dental |
| Location | 201 3rd Avenue Suite 115, Seward, Alaska |
| Authorized Official Name and Position | Kelley Baker (HEALTH SERVICES DIVISION DIRECTOR) |
| Authorized Official Contact | 9075624155 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| North Star Dental Clinic 1840 Bragaw St Ste 110 Anchorage AK 99508-3463 Ph: (907) 562-4155 | North Star Dental Clinic 201 3rd Avenue Suite 115 Seward AK 99664 Ph: (907) 224-4925 |
| NPI Number | 1316147069 |
|---|---|
| Provider Enumeration Date | 07/20/2007 |
| Last Update Date | 12/16/2021 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1316147069 | NPI | - | NPPES |
| 1003824 | Medicaid | AK |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 122300000X | Dentist | (* (Not Available)) | Secondary |
| 261QD0000X | Clinic/center - Dental | (* (Not Available)) | Primary |
Dr. Michael P. Moriarty, P.c. Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 400 Fourth Ave, Seward, AK 99664 Phone: 907-224-3071 Fax: 907-224-6001 |