Southeast Dental Centers Inc. | |
407 Spruce Street Craig AK 99921 | |
(907) 826-2273 | |
Not Available |
Full Name | Southeast Dental Centers Inc. |
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Speciality | Dentist |
Location | 407 Spruce Street, Craig, Alaska |
Authorized Official Name and Position | Scott Brookshire (PRES) |
Authorized Official Contact | 9078262273 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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Southeast Dental Centers Inc. Po Box 168 Craig AK 99921-0168 Ph: (907) 826-2273 | Southeast Dental Centers Inc. 407 Spruce Street Craig AK 99921 Ph: (907) 826-2273 |
NPI Number | 1942328042 |
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Provider Enumeration Date | 03/27/2007 |
Last Update Date | 08/22/2020 |
Identifier | Type | State | Issuer |
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1942328042 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
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122300000X | Dentist | 279670 (Alaska) | Primary |