| Carrie Randolph D.d.s. Inc. | |
|
506 W Marine Way Kodiak AK 99615-7311 | |
| (907) 486-3269 | |
| Not Available |
| Full Name | Carrie Randolph D.d.s. Inc. |
|---|---|
| Speciality | Dentist |
| Location | 506 W Marine Way, Kodiak, Alaska |
| Authorized Official Name and Position | Carrie Marie Donaldson Randolph (GENERAL DENTIST) |
| Authorized Official Contact | 9074863269 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Carrie Randolph D.d.s. Inc. 506 W Marine Way Kodiak AK 99615-7311 Ph: (907) 486-3269 | Carrie Randolph D.d.s. Inc. 506 W Marine Way Kodiak AK 99615-7311 Ph: (907) 486-3269 |
| NPI Number | 1588113187 |
|---|---|
| Provider Enumeration Date | 09/25/2016 |
| Last Update Date | 09/25/2016 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1588113187 | NPI | - | NPPES |
| 1570433 | Medicaid | AK |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 122300000X | Dentist | 1346 (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 | |
Bridgeview Dental Group Llc Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 413 Rezanof Dr E, Kodiak, AK 99615 Phone: 907-622-7874 Fax: 907-622-7872 | |
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 | |
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 |