| Pediatric Dentistry Of Alaska | |
|
3470 E Meridian Park Loop Wasilla AK 99654 | |
| (907) 373-8684 | |
| (907) 373-8465 |
| Full Name | Pediatric Dentistry Of Alaska |
|---|---|
| Speciality | Clinic/center - Dental |
| Location | 3470 E Meridian Park Loop, Wasilla, Alaska |
| Authorized Official Name and Position | Roger Duane Beck (OWNER/PRESIDENT) |
| Authorized Official Contact | 9073738684 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Pediatric Dentistry Of Alaska 3470 E Meridian Park Loop Wasilla AK 99654 Ph: (907) 373-8684 | Pediatric Dentistry Of Alaska 3470 E Meridian Park Loop Wasilla AK 99654 Ph: (907) 373-8684 |
| NPI Number | 1568616548 |
|---|---|
| Provider Enumeration Date | 11/04/2008 |
| Last Update Date | 09/12/2018 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1568616548 | NPI | - | NPPES |
| 1583802 | Medicaid | AK | |
| 1003811 | Medicaid | AK |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223P0221X | Dentist - Pediatric Dentistry | 924 (Alaska) | Secondary |
| 261QD0000X | Clinic/center - Dental | 924 (Alaska) | Primary |
Craig. R. Lowrie, Llc Dba Advanced Family Dentistry Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 1401 S Seward Meridian Pkwy, E, Wasilla, AK 99654 Phone: 907-357-5018 Fax: 907-864-1091 | |
Aesthetic Dental Group Llc Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 1551 W Parks Hwy, Wasilla, AK 99654 Phone: 907-357-6684 | |
Lakeview Dental Associates Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 851 E Westpoint Dr Ste 112, Wasilla, AK 99654 Phone: 907-376-4415 | |
Molar Bear Pediatric Dentistry Llc Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 609 S Knik Goose Bay Rd Ste D, Wasilla, AK 99654 Phone: 907-376-6527 | |
Advanced Family Dentistry Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 1401 South Seward Meridian Parkway, Suite E, Wasilla, AK 99654 Phone: 907-357-5018 Fax: 907-864-1091 | |
M Paige Dds & Jm Bressler Dds At Wasilla Llc Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 701 E Parks Hwy Ste 209, Wasilla, AK 99654 Phone: 907-376-3368 Fax: 907-376-3364 | |
Dental- Valley Dental Clinic Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 1001 S Knik Goose Bay Rd, Wasilla, AK 99654 Phone: 907-631-7690 |