| River City Dental | |
|
120 Trading Bay Rd. #280 Kenai AK 99611 | |
| (907) 335-0363 | |
| (907) 335-0364 |
| Full Name | River City Dental |
|---|---|
| Speciality | Dentist |
| Location | 120 Trading Bay Rd., Kenai, Alaska |
| Authorized Official Name and Position | Jeremy Scott Sorhus (DENTIST/OWNER) |
| Authorized Official Contact | 9073350363 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| River City Dental 120 Trading Bay Rd. #280 Kenai AK 99611 Ph: (907) 335-0363 | River City Dental 120 Trading Bay Rd. #280 Kenai AK 99611 Ph: (907) 335-0363 |
| NPI Number | 1649564519 |
|---|---|
| Provider Enumeration Date | 06/08/2011 |
| Last Update Date | 09/27/2023 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1649564519 | NPI | - | NPPES |
| 1573792 | Medicaid | AK |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 122300000X | Dentist | (* (Not Available)) | Primary |
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