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

Summit Oral Surgery LLC

Organization Oral and Maxillofacial Surgery (Dentist) · NPI 1174709927

Summit Oral Surgery LLC is an Oral and Maxillofacial Surgery (Dentist) in Wasilla, Alaska. Licensed in Alaska. Registered with an NPI since 2008.

Licensed in
AK
In the registry since
2008
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

1700 E Bogard Rd Ste B202
Wasilla, AK 99654-6570
Phone: (907) 357-3414
Fax: (907) 357-3714
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Oral and Maxillofacial Surgery (Dentist) (primary) Taxonomy 1223S0112X · Licence 1159 (AK)

Record details

NPI number1174709927
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Matthew Welch — Member · (907) 357-3414
NPI enumeratedJanuary 10, 2008
Last updated in NPPESJanuary 10, 2008
Mailing address1700 E Bogard Rd Ste B202, Wasilla, AK 99654-6570

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