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

Northern Dentistry Inc

Organization Dentist · NPI 1487197463

Northern Dentistry Inc is a Dentist in Wasilla, Alaska. Licensed in Alaska. Registered with an NPI since 2016.

Licensed in
AK
In the registry since
2016
What do these letters mean?
Inc — Incorporated
A form of business registration, not a clinical qualification.

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Practice location Address checks out

951 E Bogard Rd Ste #203
Wasilla, AK 99654-7175
Phone: (907) 376-2456
Fax: (907) 376-2458
Show map & directions

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

Specialties & licences

Dentist (primary) Taxonomy 122300000X · Licence 10026764 (AK)

Record details

NPI number1487197463
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Charles Cordova Jr. — President · (702) 869-4435
NPI enumeratedNovember 23, 2016
Last updated in NPPESNovember 23, 2016
Mailing address951 E Bogard Rd, Ste. #203, Wasilla, AK 99654-7175

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