South Anchorage Dental Clinic Llc in Anchorage - Dental Assistant
South Anchorage Dental Clinic Llc - NPI 1568623106
South Anchorage Dental Clinic Llc is a Dental Assistant in Anchorage, Alaska. South Anchorage Dental Clinic Llc practices all healthcare services and medical treatments related to Dental Assistant. The NPI Number for South Anchorage Dental Clinic Llc is 1568623106. The last update date is 2008-06-17.
South Anchorage Dental Clinic Llc's current location address is 9170 Jewel Lake Road, Anchorage, Alaska. You can contact this provider via phone number 9072487275 and fax number 9072487221. The mailing address for South Anchorage Dental Clinic Llc is 9170 Jewel Lake Road, Anchorage, Alaska. To know further, please read the information below!
Provider Profile Detail
| Provider Organization | South Anchorage Dental Clinic Llc |
|---|---|
| Address | 9170 Jewel Lake Road, Anchorage, Alaska |
| Phone Number | 9072487275 |
| Fax Number | 9072487221 |
| Sole Proprietor | -- |
| Credentials | -- |
Authorized Official
| Title or Position | PRESIDENT |
|---|---|
| Authorized Official Name | Hebertson Scott |
| Credentials | DDS |
| Telephone Number | 9072487275 |
NPI Number Detail
| NPI Number | 1568623106 |
|---|---|
| Provider Enumeration Date | 2008-06-17 |
| Last Updated Date | 2008-06-17 |
Provider Mailing Address Detail
| Address | 9170 Jewel Lake Road |
|---|---|
| City | Anchorage |
| State | Alaska (AK) |
| Post Code | 99502 |
| Phone Number | 9072487275 |
| Fax Number | 9072487221 |
Provider's Primary Taxonomy Detail
| Speciality | Dental Assistant |
|---|---|
| Taxonomy | 126800000X |
| Licence No | 1009 |
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Definition: An individual who may or may not have completed an accredited dental assisting education program and who aids the dentist in providing patient care services and performs other nonclinical duties in the dental office or other patient care facility. Th |
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What is the unique provider identifier assigned to South Anchorage Dental Clinic Llc?
The South Anchorage Dental Clinic Llc has been issued the NPI (National Provider Identifier) 1568623106 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code is a unique identification number for healthcare providers.
Could you share the physical location details of South Anchorage Dental Clinic Llc?
The South Anchorage Dental Clinic Llc is situated at 9170 Jewel Lake Road, in the city of Anchorage, state of AK, with the zip code 99502.
What is the area of specialization for South Anchorage Dental Clinic Llc, and what is the corresponding taxonomy classification code for this field?
The specialized field of practice for South Anchorage Dental Clinic Llc is Dental Assistant, and the corresponding taxonomy code that categorizes this area of expertise is 126800000X.
When did South Anchorage Dental Clinic Llc receive its 1568623106 assignment?
The South Anchorage Dental Clinic Llc was assigned its 1568623106 on 2008-06-17, which is the date when this unique identifier was issued to the organization.
When was the South Anchorage Dental Clinic Llc's information last updated?
The South Anchorage Dental Clinic Llc's information was last updated on 2008-06-17.