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Contact Information

ERIC P BUETOW, DDS
2933 HORSESHOE WAY
NORTH POLE, AK99705
 Phone: 907-488-0861
 Fax: 907-488-3141
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Dentist

122300000X
Indicates primary specialty

NPI Profile & details for ERIC P BUETOW · (Male)

NPI Number 1174695803
Status Active
Credentials DDS (Doctor of Dental Surgery)
Entity Individual
Enumeration date 11/15/2006
Last updated 07/08/2007 - About 19 years ago
Sole proprietor 1 Yes
Identifiers
  • AK License # 523
  • AK Medicaid DDO523
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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