Dental- Nilavena Dental Clinic | |
101 Airport Road Iliamna AK 99606 | |
(907) 571-1818 | |
Not Available |
Full Name | Dental- Nilavena Dental Clinic |
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Speciality | Clinic/center - Dental |
Location | 101 Airport Road, Iliamna, 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 |
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Dental- Nilavena Dental Clinic Po Box 35151 Seattle WA 98124-5151 Ph: () - | Dental- Nilavena Dental Clinic 101 Airport Road Iliamna AK 99606 Ph: (907) 571-1818 |
NPI Number | 1750961918 |
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Provider Enumeration Date | 04/12/2021 |
Last Update Date | 09/15/2023 |
Identifier | Type | State | Issuer |
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1750961918 | NPI | - | NPPES |
1654555 | Medicaid | AK |
Dental- Nilavena Dental Clinic ( Eaglesoft & Dolph Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 101 Airport Road, Iliamna, AK 99606 Phone: 907-571-1818 |