| Keguta Dental Llc | |
|
660 Third Ave Ste C Bethel AK 99559-0169 | |
| (907) 545-3996 | |
| Not Available |
| Full Name | Keguta Dental Llc |
|---|---|
| Speciality | Clinic/center - Dental |
| Location | 660 Third Ave Ste C, Bethel, Alaska |
| Authorized Official Name and Position | Edwin H Allgair (DENTAL DIRECTOR/MANAGER) |
| Authorized Official Contact | 2064190787 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Keguta Dental Llc Po Box 1051 Sterling AK 99672-1051 Ph: (206) 419-0787 | Keguta Dental Llc 660 Third Ave Ste C Bethel AK 99559-0169 Ph: (907) 545-3996 |
| NPI Number | 1578999306 |
|---|---|
| Provider Enumeration Date | 09/25/2013 |
| Last Update Date | 08/20/2014 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1578999306 | NPI | - | NPPES |
| 1608341 | Medicaid | AK |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QD0000X | Clinic/center - Dental | D997 (Alaska) | Primary |
Yukon Kuskokwim Health Corp Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 829 Chief Eddie Hoffman Hwy, Ste 340, Bethel, AK 99559 Phone: 907-543-6000 Fax: 907-543-6117 | |
Yukon Kuskokwim Health Corp Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 829 Chief Eddie Hoffman Hwy, Suite 340, Bethel, AK 99559 Phone: 907-543-6000 Fax: 907-543-6117 |