Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of October 4, 2026.
NPIDirectory

Bore Tide Services, LLC

Organization Physician Assistant · NPI 1831411826

Bore Tide Services, LLC provides Physician Assistant services in Chugiak, Alaska. Licensed in Alaska. Registered with an NPI since 2010.

Licensed in
AK
In the registry since
2010
What do these letters mean?
LLC — Limited liability company
A form of business registration, not a clinical qualification.

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Practice location Address checks out

22742 Oberg Rd
Chugiak, AK 99567-5495 Not confirmed with CMS for 16 years — call before visiting
Phone: (907) 854-8452
Fax: (907) 222-4641
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Physician Assistant (primary) Taxonomy 363A00000X · Licence 633 (AK)

Record details

NPI number1831411826
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Dennis Serie — Physician Assistant · (907) 677-2990
NPI enumeratedFebruary 18, 2010
Last updated in NPPESFebruary 18, 2010
Mailing addressPo Box 220685, Anchorage, AK 99522-0685

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