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Contact Information

ALASKA CENTER FOR DENTISTRY, PC
418 N MAIN ST
WASILLA, AK99654-7018
 Phone: 907-373-8455
 Fax: 907-373-8456
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

General Practice

1223G0001X
Indicates primary specialty

NPI Profile & details for ALASKA CENTER FOR DENTISTRY, PC

NPI Number 1770809519
LBN Legal business name ALASKA CENTER FOR DENTISTRY, PC
Authorized official CHARLES SAGE - (OWNER/DENTIST)
Entity Organization
Organization subpart 1 No
Enumeration date 04/19/2010
Last updated 04/19/2010 - About 16 years ago
Identifiers
AK License # 1320
AK License # 939
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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