| David A Albertson Dds | |
| 
					130 Carlanna Lake Rd Ketchikan AK 99901-5669  | |
| (907) 225-9631 | |
| Not Available | 
| Full Name | David A Albertson Dds | 
|---|---|
| Speciality | Clinic/center - Dental | 
| Location | 130 Carlanna Lake Rd, Ketchikan, Alaska | 
| Authorized Official Name and Position | Pamela Kemble (MANAGER) | 
| Authorized Official Contact | 9072259631 | 
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. | 
| Mailing Address | Practice Location Address | 
|---|---|
| David A Albertson Dds 130 Carlanna Lake Rd Ketchikan AK 99901-5669 Ph: (907) 225-9631  | David A Albertson Dds 130 Carlanna Lake Rd Ketchikan AK 99901-5669 Ph: (907) 225-9631  | 
| NPI Number | 1770248718 | 
|---|---|
| Provider Enumeration Date | 11/04/2021 | 
| Last Update Date | 11/04/2021 | 
| Identifier | Type | State | Issuer | 
|---|---|---|---|
| 1770248718 | NPI | - | NPPES | 
| 1670063 | Medicaid | AK | 
| Taxonomy | Type | License (State) | Status | 
|---|---|---|---|
| 261QD0000X | Clinic/center - Dental | (* (Not Available)) | Primary | 
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