Lakeview Professional Dental Associates Inc. in Wasilla - Dentist
Lakeview Professional Dental Associates Inc. - NPI 1720116601
Lakeview Professional Dental Associates Inc. is a Dentist in Wasilla, Alaska. Lakeview Professional Dental Associates Inc. practices all healthcare services and medical treatments related to Dentist. The NPI Number for Lakeview Professional Dental Associates Inc. is 1720116601. The last update date is 2020-08-22.
Lakeview Professional Dental Associates Inc.'s current location address is 851 Westpoint Dr, Wasilla, Alaska. You can contact this provider via phone number 9073764415 and fax number 9073730589. The mailing address for Lakeview Professional Dental Associates Inc. is 851 Westpoint Dr, Wasilla, Alaska. To know further, please read the information below!
Provider Profile Detail
| Provider Organization | Lakeview Professional Dental Associates Inc. |
|---|---|
| Address | 851 Westpoint Dr, Wasilla, Alaska |
| Phone Number | 9073764415 |
| Fax Number | 9073730589 |
| Sole Proprietor | -- |
| Credentials | -- |
Authorized Official
| Title or Position | DIRECTOR S |
|---|---|
| Authorized Official Name | Kingslien Jean |
| Telephone Number | 9073462625 |
NPI Number Detail
| NPI Number | 1720116601 |
|---|---|
| Provider Enumeration Date | 2007-03-01 |
| Last Updated Date | 2020-08-22 |
Provider Mailing Address Detail
| Address | 851 Westpoint Dr |
|---|---|
| City | Wasilla |
| State | Alaska (AK) |
| Post Code | 996547142 |
| Phone Number | 9073764415 |
| Fax Number | 9073730589 |
Provider's Primary Taxonomy Detail
| Speciality | Dentist |
|---|---|
| Taxonomy | 122300000X |
| Licence No | 348 |
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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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What is the unique provider identifier assigned to Lakeview Professional Dental Associates Inc.?
The Lakeview Professional Dental Associates Inc. has been issued the NPI (National Provider Identifier) 1720116601 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code is a unique identification number for healthcare providers.
Could you kindly provide the complete physical address where Lakeview Professional Dental Associates Inc.'s facilities are geographically located?
The facilities of Lakeview Professional Dental Associates Inc. are physically situated at the following location: 851 Westpoint Dr, Wasilla, AK, 996547142.
What is Lakeview Professional Dental Associates Inc.'s primary field of medical specialization, and what is the corresponding taxonomy classification code for this area of expertise?
The primary field of medical specialization for Lakeview Professional Dental Associates Inc. is Dentist, and the taxonomy classification code that categorizes this area of expertise is 122300000X.
On what date did the Centers for Medicare & Medicaid Services originally issue the 1720116601 to Lakeview Professional Dental Associates Inc.?
The Centers for Medicare & Medicaid Services originally issued the 1720116601 to Lakeview Professional Dental Associates Inc. on 2007-03-01.
As of what date were the Lakeview Professional Dental Associates Inc.'s details last updated?
The information pertaining to the Lakeview Professional Dental Associates Inc., including its address, specialty, and other details, was most recently updated on 2020-08-22.