| Binkley Street Dental Clinic Pc | |
|
246 N Binkley Street Suite B Soldotna AK 99669-7522 | |
| (907) 262-6393 | |
| (907) 262-6244 |
| Full Name | Binkley Street Dental Clinic Pc |
|---|---|
| Speciality | Dentist |
| Location | 246 N Binkley Street, Soldotna, Alaska |
| Authorized Official Name and Position | Thomas Allen Kobylarz (DENTIST) |
| Authorized Official Contact | 9072626393 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Binkley Street Dental Clinic Pc 246 N Binkley Street Suite B Soldotna AK 99669-7522 Ph: (907) 262-6393 | Binkley Street Dental Clinic Pc 246 N Binkley Street Suite B Soldotna AK 99669-7522 Ph: (907) 262-6393 |
| NPI Number | 1144425513 |
|---|---|
| Provider Enumeration Date | 06/18/2007 |
| Last Update Date | 08/22/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1144425513 | NPI | - | NPPES |
| DD47171 | Medicaid | AK |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 122300000X | Dentist | 1091 (Alaska) | Primary |
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