| Integrated Support Command Kodiak | |
| 
					Building N46 Cape Sarichef Kodiak AK 99619-5002  | |
| (907) 487-5757 | |
| (907) 487-5360 | 
| Full Name | Integrated Support Command Kodiak | 
|---|---|
| Speciality | Clinic/center | 
| Location | Building N46 Cape Sarichef, Kodiak, Alaska | 
| Authorized Official Name and Position | Todd Lane Emerson (CLINIC ADMINISTRATOR) | 
| Authorized Official Contact | 9074875757 | 
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. | 
| Mailing Address | Practice Location Address | 
|---|---|
| Integrated Support Command Kodiak Building N 46 Cape Sarlchef Kodiak AK 99619-5002 Ph: (907) 487-5757  | Integrated Support Command Kodiak Building N46 Cape Sarichef Kodiak AK 99619-5002 Ph: (907) 487-5757  | 
| NPI Number | 1720064884 | 
|---|---|
| Provider Enumeration Date | 12/21/2005 | 
| Last Update Date | 07/28/2008 | 
| Identifier | Type | State | Issuer | 
|---|---|---|---|
| 1720064884 | NPI | - | NPPES | 
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'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  | |
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  |