| Eagle River Smiles | |
|
11431 Business Blvd., Ste Eagle River AK 99577-7754 | |
| (907) 696-2875 | |
| (907) 333-3390 |
| Full Name | Eagle River Smiles |
|---|---|
| Speciality | Dentist - General Practice |
| Location | 11431 Business Blvd., Ste, Eagle River, Alaska |
| Authorized Official Name and Position | Chun Piu Man (PRESIDENT) |
| Authorized Official Contact | 9076932875 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Eagle River Smiles 8840 Old Seward Highway, #f Anchorage AK 99515-2000 Ph: (907) 333-6666 | Eagle River Smiles 11431 Business Blvd., Ste Eagle River AK 99577-7754 Ph: (907) 696-2875 |
| NPI Number | 1871003863 |
|---|---|
| Provider Enumeration Date | 10/04/2017 |
| Last Update Date | 01/14/2022 |
| Certification Date | 01/14/2022 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1871003863 | NPI | - | NPPES |
| 1740685478 | Medicaid | AK |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | 105454 (Alaska) | Secondary |
| 1223G0001X | Dentist - General Practice | (NU) | Primary |
Lookhart Dental, LLC Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 18932 Twenty Grand Rd, Eagle River, AK 99577 Phone: 208-484-9282 |
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 |
Allen Dental Group LLC Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 17101 Snowmobile Ln, Suite 107, Eagle River, AK 99577 Phone: 907-622-6233 Fax: 907-622-6232 |
Eagle River Smiles Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 11431 Business Blvd # 5, Eagle River, AK 99577 Phone: 907-696-2875 Fax: 907-696-2878 |
Discovery Dental, LLC Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 12641 Old Glenn Hwy, Ste 203, Eagle River, AK 99577 Phone: 907-622-5437 |
Arctic Oral Surgery, LLC Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 12641 Old Glenn Hwy Ste 103, Eagle River, AK 99577 Phone: 907-726-5600 Fax: 907-726-5602 |