| Linsenmayer Dentistry, Llc | |
|
21 Jefferson Way Ste 102 Ketchikan AK 99901-5951 | |
| (907) 220-9231 | |
| Not Available |
| Full Name | Linsenmayer Dentistry, Llc |
|---|---|
| Speciality | Dentist - Pediatric Dentistry |
| Location | 21 Jefferson Way Ste 102, Ketchikan, Alaska |
| Authorized Official Name and Position | Kristi Linsenmayer (DENTIST) |
| Authorized Official Contact | 2069201046 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Linsenmayer Dentistry, Llc 510 Ward St # 201 Seattle WA 98109-3981 Ph: (206) 920-1046 | Linsenmayer Dentistry, Llc 21 Jefferson Way Ste 102 Ketchikan AK 99901-5951 Ph: (907) 220-9231 |
| NPI Number | 1093945131 |
|---|---|
| Provider Enumeration Date | 07/23/2009 |
| Last Update Date | 10/19/2011 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1093945131 | NPI | - | NPPES |
| 5017983 | Medicaid | WA | |
| 1639352560 | Other | NPI INDIVIDUAL | |
| DDGO25 | Medicaid | AK |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 122300000X | Dentist | 7075 (Washington) | Secondary |
| 122300000X | Dentist | 1287 (Alaska) | Secondary |
| 1223P0221X | Dentist - Pediatric Dentistry | 168 (Alaska) | Primary |
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 | |
Kic Tribal Health Clinic Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 2960 Tongass Ave, Ketchikan, AK 99901 Phone: 907-228-9200 Fax: 800-887-8796 | |
Ketchikan Dental Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 130 Carlanna Lake Rd, Ketchikan, AK 99901 Phone: 909-967-8052 Fax: 907-331-4220 | |
Peter Emmons Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 130 Carlanna Lake Rd, Ketchikan, AK 99901 Phone: 832-726-6655 | |
David A Albertson Dds Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 130 Carlanna Lake Rd, Ketchikan, AK 99901 Phone: 907-225-9631 | |
Thomas B. Nordtvedt, Dds, Apc Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 1621 Tongass Ave, Suite 103, Ketchikan, AK 99901 Phone: 907-225-8228 Fax: 907-225-8224 |