Copper River Native Association in Glennallen - Dentist
Copper River Native Association - NPI 1306987532
Copper River Native Association is a Dentist in Glennallen, Alaska. Copper River Native Association practices all healthcare services and medical treatments related to Dentist. The NPI Number for Copper River Native Association is 1306987532. The last update date is 2020-08-22.
Copper River Native Association's current location address is 187 Glenn Highway, Glennallen, Alaska. You can contact this provider via phone number 9078223113 and fax number 9078224045. The mailing address for Copper River Native Association is 187 Glenn Highway, Glennallen, Alaska. To know further, please read the information below!
Provider Profile Detail
| Provider Organization | Copper River Native Association |
|---|---|
| Address | 187 Glenn Highway, Glennallen, Alaska |
| Phone Number | 9078223113 |
| Fax Number | 9078224045 |
| Sole Proprietor | -- |
| Credentials | -- |
Authorized Official
| Title or Position | CEO |
|---|---|
| Authorized Official Name | Dilts Jackson Arlene |
| Telephone Number | 9078225241 |
NPI Number Detail
| NPI Number | 1306987532 |
|---|---|
| Provider Enumeration Date | 2007-02-09 |
| Last Updated Date | 2020-08-22 |
Provider Mailing Address Detail
| Address | 187 Glenn Highway |
|---|---|
| City | Glennallen |
| State | Alaska (AK) |
| Post Code | 995880744 |
| Phone Number | 9078223113 |
| Fax Number | 9078224045 |
Provider's Primary Taxonomy Detail
| Speciality | Dentist |
|---|---|
| Taxonomy | 122300000X |
| Licence No | 36087 |
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Definition: A dentist is a person qualified by a doctorate in dental surgery (D.D.S.) or dental medicine (D.M.D.), licensed by the state to practice dentistry, and practicing within the scope of that license. There is no difference between the two degrees: denti |
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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| DD1001 | AL | -- |
Post Comment/ Review Below
What is the unique 10-digit identifier code issued to Copper River Native Association by the Centers for Medicare & Medicaid Services?
The Copper River Native Association has been assigned the NPI (National Provider Identifier) 1306987532 by the CMS (Centers for Medicare & Medicaid Services). This 10-digit code serves as a unique identification number for healthcare providers.
Could you please provide the complete street address where Copper River Native Association is physically located?
The Copper River Native Association is physically situated at the following address: 187 Glenn Highway, Glennallen, AK, 995880744.
What is Copper River Native Association's area of specialization, and what is the corresponding taxonomy classification code for this field of practice?
The specialized area of practice for Copper River Native Association is Dentist, and the taxonomy code that categorizes this field of expertise is 122300000X.
On what date did the Centers for Medicare & Medicaid Services issue the 1306987532 to Copper River Native Association?
The Copper River Native Association received its 1306987532 assignment from the Centers for Medicare & Medicaid Services on 2007-02-09.
When was the information pertaining to Copper River Native Association most recently updated or revised?
The details related to Copper River Native Association, including its address, specialty, and other relevant information, were last updated or revised on 2020-08-22.
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