| Ketchikan Dental | |
| 
					130 Carlanna Lake Rd Ketchikan AK 99901-5669  | |
| (909) 967-8052 | |
| (907) 331-4220 | 
| Full Name | Ketchikan Dental | 
|---|---|
| Speciality | Dentist - General Practice | 
| Location | 130 Carlanna Lake Rd, Ketchikan, Alaska | 
| Authorized Official Name and Position | Tanner D Zylstra (OWNER) | 
| Authorized Official Contact | 9099678052 | 
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. | 
| Mailing Address | Practice Location Address | 
|---|---|
| Ketchikan Dental 130 Carlanna Lake Rd Ketchikan AK 99901-5669 Ph: (909) 967-8052  | Ketchikan Dental 130 Carlanna Lake Rd Ketchikan AK 99901-5669 Ph: (909) 967-8052  | 
| NPI Number | 1518720911 | 
|---|---|
| Provider Enumeration Date | 01/30/2024 | 
| Last Update Date | 01/30/2024 | 
| Identifier | Type | State | Issuer | 
|---|---|---|---|
| 1518720911 | NPI | - | NPPES | 
| Taxonomy | Type | License (State) | Status | 
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | (* (Not Available)) | Primary | 
Linsenmayer Dentistry, Llc Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 21 Jefferson Way Ste 102, Ketchikan, AK 99901 Phone: 907-220-9231  | |
Eric Nance Ak Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 130 Carlanna Lake Rd, Ketchikan, AK 99901 Phone: 801-369-0012  | |
Jason W. Evison, D.d.s., P.c. Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 1621 Tongass Ave, Suite 103, Ketchikan, AK 99901 Phone: 907-225-8228  | |
Tc Pediatric Dentistry Llc Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 21 Jefferson Way Ste 102a, Ketchikan, AK 99901 Phone: 907-220-9231  | |
Ketchikan Indian Corporation Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 2960 Tongass Ave, Ketchikan, AK 99901 Phone: 907-228-9200 Fax: 800-887-8796  | |
Exindent Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 130 Carlanna Lake Rd, Ketchikan, AK 99901 Phone: 832-726-6655  |