Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Ketchikan Dental

Organization General Practice Dentistry · NPI 1518720911

Ketchikan Dental is a General Practice Dentistry in Ketchikan, Alaska. Registered with an NPI since 2024.

In the registry since
2024

Practice location Address checks out

130 Carlanna Lake Rd
Ketchikan, AK 99901-5669
Phone: (909) 967-8052
Fax: (907) 331-4220
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

General Practice Dentistry (primary) Taxonomy 1223G0001X

Record details

NPI number1518720911
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Tanner Zylstra — Owner · (909) 967-8052
NPI enumeratedJanuary 30, 2024
Last updated in NPPESJanuary 30, 2024
Certification dateJanuary 30, 2024
Mailing address130 Carlanna Lake Rd, Ketchikan, AK 99901-5669

Other providers in Ketchikan