| Preventive Dental Services, A Professional Corporation | |
| 
					549 Grubstake Ave Suite #a Homer AK 99603-7640  | |
| (907) 235-1286 | |
| (907) 235-1263 | 
| Full Name | Preventive Dental Services, A Professional Corporation | 
|---|---|
| Speciality | Dentist | 
| Location | 549 Grubstake Ave, Homer, Alaska | 
| Authorized Official Name and Position | Susan Jeanne Polis (DENTIST) | 
| Authorized Official Contact | 9072351286 | 
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. | 
| Mailing Address | Practice Location Address | 
|---|---|
| Preventive Dental Services, A Professional Corporation 549 Grubstake Ave Suite #a Homer AK 99603-7640 Ph: (907) 235-1286  | Preventive Dental Services, A Professional Corporation 549 Grubstake Ave Suite #a Homer AK 99603-7640 Ph: (907) 235-1286  | 
| NPI Number | 1922341734 | 
|---|---|
| Provider Enumeration Date | 03/29/2013 | 
| Last Update Date | 03/29/2013 | 
| Identifier | Type | State | Issuer | 
|---|---|---|---|
| 1922341734 | NPI | - | NPPES | 
| Taxonomy | Type | License (State) | Status | 
|---|---|---|---|
| 122300000X | Dentist | (* (Not Available)) | 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  | |
Premium Aspect Dentistry, Llc Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 345 Sterling Hwy, Suite 102a, Homer, AK 99603 Phone: 907-235-3618 Fax: 907-235-6849  |