| Northern Lights Dental Clinic | |
|
2595 Saint Nicholas Dr North Pole AK 99705-7747 | |
| (907) 490-4629 | |
| (907) 490-4649 |
| Full Name | Northern Lights Dental Clinic |
|---|---|
| Speciality | Dentist - General Practice |
| Location | 2595 Saint Nicholas Dr, North Pole, Alaska |
| Authorized Official Name and Position | Gamaliel Issac Rodriguez (OWNER) |
| Authorized Official Contact | 9074900127 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Northern Lights Dental Clinic 2595 Saint Nicholas Dr North Pole AK 99705-7747 Ph: (907) 490-4629 | Northern Lights Dental Clinic 2595 Saint Nicholas Dr North Pole AK 99705-7747 Ph: (907) 490-4629 |
| NPI Number | 1558726489 |
|---|---|
| Provider Enumeration Date | 12/18/2015 |
| Last Update Date | 12/18/2015 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1558726489 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | AA828 (Alaska) | Primary |
Christopher Olsen, Dds Llc Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 203 S Santa Claus Ln, North Pole, AK 99705 Phone: 907-488-1515 Fax: 907-488-1516 | |
Chena Dental Care Llc Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 2933 Horseshoe Way, North Pole, AK 99705 Phone: 907-488-0861 Fax: 907-488-3141 | |
Dental Workshop Partnership Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 190 Kevins Way, North Pole, AK 99705 Phone: 907-490-4650 Fax: 907-490-4653 | |
Moose's Tooth Children's Dentistry, Llc Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 167 S Santa Claus Ln Ste B, North Pole, AK 99705 Phone: 907-268-6644 Fax: 907-268-6670 | |
Eric P. Buetow, D.d.s., P.c. Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 2933 Horseshoe Way, North Pole, AK 99705 Phone: 907-488-0861 |