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

South Anchorage Dental Clinic LLC

Organization Dental Assistant · NPI 1568623106

South Anchorage Dental Clinic LLC is a Dental Assistant in Anchorage, Alaska. Licensed in Alaska. Registered with an NPI since 2008.

Licensed in
AK
In the registry since
2008
Specialties on file
2
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

9170 Jewel Lake Rd Ste 201
Anchorage, AK 99502
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

Dental Assistant (primary) Taxonomy 126800000X · Licence AA625 (AK)
Dental Assistant Taxonomy 126800000X · Licence 1009 (AK)

Record details

NPI number1568623106
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Scott Hebertson — President · (907) 248-7275
NPI enumeratedJune 17, 2008
Last updated in NPPESJune 17, 2008
Mailing address9170 Jewel Lake Road, Suite 201, Anchorage, AK 99502

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