| Bridgeview Dental Group Llc | |
|
413 Rezanof Dr E Kodiak AK 99615-6367 | |
| (907) 622-7874 | |
| (907) 622-7872 |
| Full Name | Bridgeview Dental Group Llc |
|---|---|
| Speciality | Dentist - General Practice |
| Location | 413 Rezanof Dr E, Kodiak, Alaska |
| Authorized Official Name and Position | James Penfield (OWNER) |
| Authorized Official Contact | 9076227874 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Bridgeview Dental Group Llc 12641 Old Glenn Hwy Ste 204 Eagle River AK 99577 Ph: (907) 622-7874 | Bridgeview Dental Group Llc 413 Rezanof Dr E Kodiak AK 99615-6367 Ph: (907) 622-7874 |
| NPI Number | 1134588619 |
|---|---|
| Provider Enumeration Date | 02/12/2016 |
| Last Update Date | 02/12/2016 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1134588619 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | 1137 (Alaska) | Primary |
Family Dentistry Of Kodiak Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 1317 Mill Bay Rd, Kodiak, AK 99615 Phone: 907-486-3291 Fax: 907-486-9896 | |
Jennifer Spivey Dds Pc Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 204 Rezanof Dr E, Suite #201, Kodiak, AK 99615 Phone: 907-481-3567 Fax: 907-481-3564 | |
Nathan M Faber Dmd Pc Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 413 E Rezanof Dr, Kodiak, AK 99615 Phone: 907-486-3257 | |
Carrie Randolph D.d.s. Inc. Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 506 W Marine Way, Kodiak, AK 99615 Phone: 907-486-3269 | |
Nathan M. Faber Dmd Pc Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 413 E Rezanof Dr, Kodiak, AK 99615 Phone: 907-486-3257 | |
James R. Arneson, Dds,inc Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 506 W Marine Way, Kodiak, AK 99615 Phone: 907-486-3269 Fax: 907-486-3260 |