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Contact Information

YUKON KUSKOKWIM HEALTH CORP
829 CHIEF EDDIE HOFFMAN HWY
SUITE 340
BETHEL, AK99559
 Phone: 907-543-6000
 Fax: 907-543-6117
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Endodontics

1223E0200X
 

General Practice

1223G0001X
 

Oral and Maxillofacial Surgery

1223S0112X 19 Oral Surgery (Dentist only)
 

Pediatric Dentistry

1223P0221X
 

Periodontics

1223P0300X
 

Prosthodontics

1223P0700X
Indicates primary specialty

NPI Profile & details for YUKON KUSKOKWIM HEALTH CORP · (Female)

NPI Number 1720202187
Status Active
Credentials
Entity Individual
Enumeration date 04/13/2007
Last updated 03/03/2008 - About 18 years ago
Sole proprietor 1 Not specified
Identifiers
  • AK Medicaid GR0157
  • AK Medicaid GR0188
  • AK Medicaid GR0190
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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