| Discovery Dental, Llc | |
|
12641 Old Glenn Hwy Ste 203 Eagle River AK 99577-7039 | |
| (907) 622-5437 | |
| Not Available |
| Full Name | Discovery Dental, Llc |
|---|---|
| Speciality | Dentist - General Practice |
| Location | 12641 Old Glenn Hwy, Eagle River, Alaska |
| Authorized Official Name and Position | Matthew D Parisek (DENTIST DDS/OWNER) |
| Authorized Official Contact | 9076225437 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Discovery Dental, Llc 12641 Old Glenn Hwy Ste 203 Eagle River AK 99577-7039 Ph: (907) 622-5437 | Discovery Dental, Llc 12641 Old Glenn Hwy Ste 203 Eagle River AK 99577-7039 Ph: (907) 622-5437 |
| NPI Number | 1194163691 |
|---|---|
| Provider Enumeration Date | 06/06/2013 |
| Last Update Date | 12/13/2023 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1194163691 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | 988584 (Alaska) | Primary |
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William R. Evans, Dds, Apc Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 16635 Centerfield Dr, Suite 205, Eagle River, AK 99577 Phone: 907-694-5150 Fax: 907-694-1317 | |
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