| Dental- Fireweed Dental Clinic | |
|
4341 Tudor Centre Dr Anchorage AK 99508-5904 | |
| (907) 729-2000 | |
| Not Available |
| Full Name | Dental- Fireweed Dental Clinic |
|---|---|
| Speciality | Dentist - General Practice |
| Location | 4341 Tudor Centre Dr, Anchorage, Alaska |
| Authorized Official Name and Position | Ronald Lee Olson (EXECUTIVE VICE PRESIDENT FINANCE) |
| Authorized Official Contact | 9077294939 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Dental- Fireweed Dental Clinic Po Box 35151 Seattle WA 98124-5151 Ph: () - | Dental- Fireweed Dental Clinic 4341 Tudor Centre Dr Anchorage AK 99508-5904 Ph: (907) 729-2000 |
| NPI Number | 1316527575 |
|---|---|
| Provider Enumeration Date | 04/12/2021 |
| Last Update Date | 09/01/2023 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1316527575 | NPI | - | NPPES |
| 1003875 | Medicaid | AK |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | (* (Not Available)) | Primary |
| 1223P0700X | Dentist - Prosthodontics | (* (Not Available)) | Secondary |
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