Southeast Dental Group, Pc in Juneau - Dentist
Southeast Dental Group, Pc - NPI 1780706838
Southeast Dental Group, Pc is a Dentist in Juneau, Alaska. Southeast Dental Group, Pc practices all healthcare services and medical treatments related to Dentist. The NPI Number for Southeast Dental Group, Pc is 1780706838. The last update date is 2014-02-04.
Southeast Dental Group, Pc's current location address is 2220 Dunn St, Juneau, Alaska. You can contact this provider via phone number 9075869885 and fax number 9075861849. The mailing address for Southeast Dental Group, Pc is 2220 Dunn St, Juneau, Alaska. To know further, please read the information below!
Provider Profile Detail
Provider Organization | Southeast Dental Group, Pc |
---|---|
Address | 2220 Dunn St, Juneau, Alaska |
Phone Number | 9075869885 |
Fax Number | 9075861849 |
Sole Proprietor | -- |
Credentials | -- |
Authorized Official
Title or Position | DENTIST VI |
---|---|
Authorized Official Name | Schultz J Kristen |
Credentials | D.D.S. |
Telephone Number | 9075869885 |
NPI Number Detail
NPI Number | 1780706838 |
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Provider Enumeration Date | 2007-04-06 |
Last Updated Date | 2014-02-04 |
Provider Mailing Address Detail
Address | 2220 Dunn St |
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City | Juneau |
State | Alaska (AK) |
Post Code | 998019304 |
Phone Number | 9075869885 |
Fax Number | 9075861849 |
Provider's Primary Taxonomy Detail
Speciality | Dentist |
---|---|
Taxonomy | 122300000X |
Licence No | 7435 |
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 |
Provider's Other Legacy Identifiers
Identifier | Identifier Type | Identifier State | Identifier Issuer |
---|---|---|---|
DDO961 | AK | -- | |
963 | AK | STATE OF ALASKA |
Post Comment/ Review Below
What is the unique identification code assigned to Southeast Dental Group, Pc by the Centers for Medicare & Medicaid Services?
The Southeast Dental Group, Pc has been issued the NPI (National Provider Identifier) 1780706838. This 10-digit code serves as a unique identifier for healthcare providers, assigned by the Centers for Medicare & Medicaid Services (CMS).
Could you please share the complete physical address where Southeast Dental Group, Pc is geographically located?
The Southeast Dental Group, Pc is physically situated at the following location: 2220 Dunn St, Juneau, AK, 998019304.
What is Southeast Dental Group, Pc's specialized field of practice, and what is the corresponding taxonomy classification code?
The Southeast Dental Group, Pc's area of specialization is Dentist, and the corresponding taxonomy code that categorizes this field of practice is 122300000X.
On what date did the Centers for Medicare & Medicaid Services originally issue the 1780706838 to Southeast Dental Group, Pc?
The Centers for Medicare & Medicaid Services originally issued the 1780706838 to Southeast Dental Group, Pc on 2007-04-06.
As of what date was the information regarding Southeast Dental Group, Pc, such as address, specialty, and other details, last verified and confirmed to be up-to-date?
The information related to Southeast Dental Group, Pc, including its address, specialty, and other relevant details, was last verified and confirmed to be up-to-date on 2014-02-04.
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