| Kodiak Area Native Association | |
| 
					1317 Mill Bay Rd Kodiak AK 99615-6411  | |
| (907) 486-3291 | |
| (907) 486-9896 | 
| Full Name | Kodiak Area Native Association | 
|---|---|
| Speciality | Clinic/center - Dental | 
| Location | 1317 Mill Bay Rd, Kodiak, Alaska | 
| Authorized Official Name and Position | Michael Pfeffer (CHIEF OPERATING OFFICER) | 
| Authorized Official Contact | 9074869800 | 
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. | 
| Mailing Address | Practice Location Address | 
|---|---|
| Kodiak Area Native Association 3449 E Rezanof Dr Kodiak AK 99615-6952 Ph: (907) 486-9880  | Kodiak Area Native Association 1317 Mill Bay Rd Kodiak AK 99615-6411 Ph: (907) 486-3291  | 
| NPI Number | 1093213167 | 
|---|---|
| Provider Enumeration Date | 01/24/2018 | 
| Last Update Date | 01/24/2018 | 
| Identifier | Type | State | Issuer | 
|---|---|---|---|
| 1093213167 | NPI | - | NPPES | 
| Taxonomy | Type | License (State) | Status | 
|---|---|---|---|
| 261QD0000X | Clinic/center - Dental | (* (Not Available)) | Primary | 
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  | |
'gentle Dentistry' Jennifer Spivey Dds 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  | |
Integrated Support Command Kodiak Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: Building N46 Cape Sarichef, Kodiak, AK 99619 Phone: 907-487-5757 Fax: 907-487-5360  | |
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  |