| Premium Aspect Dentistry, Llc | |
|
345 Sterling Hwy Suite 102a Homer AK 99603-7820 | |
| (907) 235-3618 | |
| (907) 235-6849 |
| Full Name | Premium Aspect Dentistry, Llc |
|---|---|
| Speciality | Dentist - General Practice |
| Location | 345 Sterling Hwy, Homer, Alaska |
| Authorized Official Name and Position | Douglas Allen Lien (MANAGING MEMBER) |
| Authorized Official Contact | 9072353618 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Premium Aspect Dentistry, Llc 345 Sterling Hwy Suite 102a Homer AK 99603-7820 Ph: (907) 235-3618 | Premium Aspect Dentistry, Llc 345 Sterling Hwy Suite 102a Homer AK 99603-7820 Ph: (907) 235-3618 |
| NPI Number | 1790858207 |
|---|---|
| Provider Enumeration Date | 11/15/2006 |
| Last Update Date | 04/04/2013 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1790858207 | NPI | - | NPPES |
| 663219 | Other | AK | CLAIMS SUBMISSION ID |
| DD06492 | Medicaid | AK |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | AA0649 (Alaska) | Primary |
Edward B Todd Dds Pc Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 3732 Ben Walters Ln, Homer, AK 99603 Phone: 907-235-8574 | |
James Bourne Dds Pc Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 3732 Ben Walters Ln, Homer, AK 99603 Phone: 907-235-8574 Fax: 907-235-7593 | |
Anne C Adamson Dds Llc Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 4014 Lake St Ste 210, Homer, AK 99603 Phone: 907-235-7585 | |
Seldovia Village Tribe Dental Clinic Medicare: Medicare Enrolled Practice Location: 880 E End Rd, Homer, AK 99603 Phone: 907-226-2228 Fax: 907-226-2230 | |
Richardson Dmd, Inc. Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 412 E Pioneer Ave, Suite #2, Homer, AK 99603 Phone: 907-226-2218 | |
Preventive Dental Services, A Professional Corporation Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 549 Grubstake Ave, Suite #a, Homer, AK 99603 Phone: 907-235-1286 Fax: 907-235-1263 |