Full Name | |
---|---|
Speciality | Clinic/center - Dental |
Location | 51101 Polaris Way, Kenai, Alaska |
Authorized Official Name and Position | Robert E Mcalpine (PRESIDENT) |
Authorized Official Contact | 9079521306 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
---|---|
Po Box 1610 Soldotna AK 99669 Ph: (907) 952-1306 | 51101 Polaris Way Kenai AK 99611 Ph: (907) 952-1306 |
NPI Number | 1982950044 |
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Provider Enumeration Date | 07/26/2012 |
Last Update Date | 07/26/2012 |
Identifier | Type | State | Issuer |
---|---|---|---|
1982950044 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
261QD0000X | Clinic/center - Dental | 1210 (Alaska) | Primary |
K-beach Dental Group Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 36892 Mallard Rd, Kenai, AK 99611 Phone: 907-283-9210 Fax: 907-283-3184 | |
Franklin Todd Wortham Dds, Llc Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 10767 Kenai Spur Hwy Ste A, Kenai, AK 99611 Phone: 907-252-1673 |