National Provider Identifier Database

ARCTIC SLOPE NATIVE ASSOCIATION
Dental


Contact Information

ARCTIC SLOPE NATIVE ASSOCIATION
1296 AGVIK ST
BARROW, AK99723
Phone: 907-852-4611
Fax: 907-852-9297
Website:
Specialty Taxonomy Code
* Dental 261QD0000X

* Indicates primary specialty

NPI Profile & details for ARCTIC SLOPE NATIVE ASSOCIATION

NPI Number 1528181971
Legal business name
LBN
ARCTIC SLOPE NATIVE ASSOCIATION
Authorized official AMANDA ASHLEY-GAYNOR - (CLINICAL DIRECTOR OF DENTAL)
Entity Organization
Organization subpart No
Enumeration date 04/09/2007
Last updated 08/22/2020 - About 6 years ago
Sole proprietor1 Not specified
Identifiers
  • AK License #: DD1010
  • AK Medicaid: DD1010

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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