| Alaska Dentistry For Kids, Llc | |
|
880 N St Ste 101 Anchorage AK 99501-3276 | |
| (907) 274-2525 | |
| (907) 277-4725 |
| Full Name | Alaska Dentistry For Kids, Llc |
|---|---|
| Speciality | Dentist - Pediatric Dentistry |
| Location | 880 N St Ste 101, Anchorage, Alaska |
| Authorized Official Name and Position | Christopher S Coplin (PRESIDENT) |
| Authorized Official Contact | 9072742525 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Alaska Dentistry For Kids, Llc 880 N St Ste 101 Anchorage AK 99501-3276 Ph: (907) 274-2525 | Alaska Dentistry For Kids, Llc 880 N St Ste 101 Anchorage AK 99501-3276 Ph: (907) 274-2525 |
| NPI Number | 1629374129 |
|---|---|
| Provider Enumeration Date | 01/31/2011 |
| Last Update Date | 01/31/2011 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1629374129 | NPI | - | NPPES |
| AK1329 | Other | AK | AK LICENSE |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223P0221X | Dentist - Pediatric Dentistry | AK1329 (Alaska) | Primary |
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