| Advanced Dental Solutions, Inc. | |
|
615 E 82nd Avenue Suite 100 Anchorage AK 99518 | |
| (907) 562-1686 | |
| (907) 563-6484 |
| Full Name | Advanced Dental Solutions, Inc. |
|---|---|
| Speciality | Dentist - General Practice |
| Location | 615 E 82nd Avenue, Anchorage, Alaska |
| Authorized Official Name and Position | Dale F. Burke (PRESIDENT) |
| Authorized Official Contact | 9075621686 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Advanced Dental Solutions, Inc. 615 E 82nd Avenue Suite 100 Anchorage AK 99518 Ph: (907) 562-1686 | Advanced Dental Solutions, Inc. 615 E 82nd Avenue Suite 100 Anchorage AK 99518 Ph: (907) 562-1686 |
| NPI Number | 1215021795 |
|---|---|
| Provider Enumeration Date | 10/02/2006 |
| Last Update Date | 08/11/2020 |
| Certification Date | 08/11/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1215021795 | NPI | - | NPPES |
| DDO861 | Medicaid | AK |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | () | Primary |
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