Same Day Dental Palmer | |
125 W Evergreen Ave Palmer AK 99645-6908 | |
(616) 902-4077 | |
(888) 341-5659 |
Full Name | Same Day Dental Palmer |
---|---|
Speciality | Clinic/center - Dental |
Location | 125 W Evergreen Ave, Palmer, Alaska |
Authorized Official Name and Position | Charles F Cole (DENTIST/OWNER) |
Authorized Official Contact | 9076313630 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
---|---|
Same Day Dental Palmer 125 W Evergreen Ave Palmer AK 99645-6908 Ph: (616) 902-4077 | Same Day Dental Palmer 125 W Evergreen Ave Palmer AK 99645-6908 Ph: (616) 902-4077 |
NPI Number | 1114432473 |
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Provider Enumeration Date | 12/08/2017 |
Last Update Date | 06/11/2019 |
Identifier | Type | State | Issuer |
---|---|---|---|
1114432473 | NPI | - | NPPES |
1597353 | Medicaid | AK |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
261QD0000X | Clinic/center - Dental | 628 (Alaska) | Primary |
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