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Pediatric Dentistry Of Alaska
Dental Clinic/Center in Wasilla, Alaska
NPI 1568616548

Pediatric Dentistry Of Alaska is a Dental Clinic/Center based in Wasilla, AK and is specialized in Dental. Pediatric Dentistry Of Alaska practices in Wasilla, AK. The NPI Number for Pediatric Dentistry Of Alaska is 1568616548 and holds a License No. 924 (Alaska).

The current practice location address for Pediatric Dentistry Of Alaska is 3470 E Meridian Park Loop, Wasilla, AK and can be reached out via phone at 907-373-8684 and via fax at 907-373-8465.

Location: 3470 E Meridian Park Loop, Wasilla, AK, 99654
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1568616548
Provider Name
Pediatric Dentistry Of Alaska
Credential
Provider Entity Type
Organization
Address
3470 E Meridian Park Loop, Wasilla, AK, 99654
Phone Number
907-373-8684
Fax Number
907-373-8465
Provider Enumeration Date
11/04/2008
Last Update Date
03/09/2024
tick
Provider's Legacy Identifiers
Identifier Type State Issuer
1583802 05 AK
1003811 05 AK
institution
Provider Business Practice Location Address Details
Address
3470 E Meridian Park Loop
City
Wasilla
State
Alaska
Zip
99654
Phone Number
907-373-8684
Fax Number
907-373-8465
person
Provider Business Mailing Address Details
Address
3470 E Meridian Park Loop
City
Wasilla
State
Alaska
Zip
99654
Phone Number
907-373-8684
Fax Number
907-373-8465
person
Provider's Taxonomy Details 1
Type
Dental Providers
Classification
Dentist
Speciality
Pediatric Dentistry
Taxonomy
1223P0221X
License No.
924 (Alaska)
Definition
An age-defined specialty that provides both primary and comprehensive preventive and therapeutic oral health care for infants and children through adolescence, including those with special health care needs.
person
Provider's Taxonomy Details 2
Type
Ambulatory Health Care Facilities
Classification
Clinic/Center
Speciality
Dental
Taxonomy
261QD0000X
License No.
924 (Alaska)
Definition
Definition to come...
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Dental Clinic/Center
3470 E Meridian Park Loop,
WASILLA, AK
99654-7294
907-373-8684
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