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

Kodiak Island Family Dentistry

Organization Dental Clinic/Center · NPI 1811568900

Kodiak Island Family Dentistry is a Dental Clinic/Center in Kodiak, Alaska. Registered with an NPI since 2021.

In the registry since
2021

Practice location Address checks out

204 E Rezanof Dr Ste 201
Kodiak, AK 99615-6379
Phone: (907) 481-3567
Show map & directions

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

Specialties & licences

Dental Clinic/Center (primary) Taxonomy 261QD0000X

Record details

NPI number1811568900
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Tabitha Leiva — Office Manager · (907) 481-3567
NPI enumeratedJuly 8, 2021
Last updated in NPPESJuly 8, 2021
Certification dateJuly 8, 2021
Mailing address204 E Rezanof Dr Ste 201, Kodiak, AK 99615-6379

Other providers in Kodiak