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Contact Information

ALASKA DENTAL OUTREACH CONSORTIUM
9170 JEWEL LAKE RD STE 203
ANCHORAGE, AK99502-5390
 Phone: 907-563-3011
 Fax: 907-563-3009
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Dentist

122300000X
Indicates primary specialty

NPI Profile & details for ALASKA DENTAL OUTREACH CONSORTIUM

NPI Number 1356677751
LBN Legal business name ALASKA DENTAL OUTREACH CONSORTIUM
Authorized official JAMES TOWLE - (SECRETARY OF THE BOARD OF DIRECTORS)
Entity Organization
Organization subpart 1 No
Enumeration date 10/20/2009
Last updated 10/20/2009 - About 17 years ago
Identifiers n/a
1 Some organization health care providers are made up of components that furnish different types of health care or have separate physical locations where health care is furnished. These components and physical locations are not themselves legal entities, but are part of the organization health care provider (which is a legal entity). A covered organization provider may decide that its subparts (if it has any) should have their own NPI numbers. If a subpart conducts any HIPAA standard transactions on its own (e.g., separately from its parent), it must obtain its own NPI number.

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