| Dental- Ambassador Drive Dental Clinic | |
|
4115 Ambassador Dr Ste H210 Anchorage AK 99508-5928 | |
| (907) 729-2000 | |
| Not Available |
| Full Name | Dental- Ambassador Drive Dental Clinic |
|---|---|
| Speciality | Clinic/center - Dental |
| Location | 4115 Ambassador Dr Ste H210, Anchorage, Alaska |
| Authorized Official Name and Position | Ronald Lee Olson (EXECUTIVE VICE PRESIDENT FINANCE) |
| Authorized Official Contact | 9077294939 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Dental- Ambassador Drive Dental Clinic Po Box 35151 Seattle WA 98124-5151 | Dental- Ambassador Drive Dental Clinic 4115 Ambassador Dr Ste H210 Anchorage AK 99508-5928 Ph: (907) 729-2000 |
| NPI Number | 1467124560 |
|---|---|
| Provider Enumeration Date | 09/28/2021 |
| Last Update Date | 04/01/2026 |
| Certification Date | 04/01/2026 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1467124560 | NPI | - | NPPES |
| 1725227 | Medicaid | AK |
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