South Anchorage Dental Center
South Anchorage Dental Center is a Preferred Provider Organization in Anchorage, Alaska. Licensed in Alaska. Registered with an NPI since 2011.
- Licensed in
- AK
- In the registry since
- 2011
Practice location Address checks out
9170 Jewel Lake Rd Ste 201Anchorage, AK 99502-5390
Phone: (907) 248-7275
Fax: (907) 248-7221
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Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Preferred Provider Organization (primary) | Taxonomy 305R00000X · Licence 1308 (AK) |
|---|
Record details
| NPI number | 1841580966 |
|---|---|
| Entity type | Organization (Type 2) |
| Organization subpart | No |
| Authorized official | Broc Brimhall — Dentist · (907) 248-7275 |
| NPI enumerated | April 11, 2011 |
| Last updated in NPPES | April 11, 2011 |
| Mailing address | 9170 Jewel Lake Rd Ste 201, Anchorage, AK 99502-5390 |
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