| Ninilchik Family Dentistry P.c. | |
|
66334 Aspen St. Ninilchik AK 99639 | |
| (907) 567-4444 | |
| (907) 567-4446 |
| Full Name | Ninilchik Family Dentistry P.c. |
|---|---|
| Speciality | Dentist - General Practice |
| Location | 66334 Aspen St., Ninilchik, Alaska |
| Authorized Official Name and Position | Zestivinal Zoubek (OWNER) |
| Authorized Official Contact | 9075674444 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Ninilchik Family Dentistry P.c. P.o. Box 39450 Ninilchik AK 99639 Ph: (907) 567-4444 | Ninilchik Family Dentistry P.c. 66334 Aspen St. Ninilchik AK 99639 Ph: (907) 567-4444 |
| NPI Number | 1316186281 |
|---|---|
| Provider Enumeration Date | 02/17/2009 |
| Last Update Date | 02/17/2009 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1316186281 | NPI | - | NPPES |
| DD7097 | Medicaid | AK |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | 1095 (Alaska) | Primary |