| Southeast Dental Centers Inc. | |
|
407 Spruce Street Craig AK 99921 | |
| (907) 826-2273 | |
| Not Available |
| Full Name | Southeast Dental Centers Inc. |
|---|---|
| Speciality | Dentist |
| Location | 407 Spruce Street, Craig, Alaska |
| Authorized Official Name and Position | Scott Brookshire (PRES) |
| Authorized Official Contact | 9078262273 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Southeast Dental Centers Inc. Po Box 168 Craig AK 99921-0168 Ph: (907) 826-2273 | Southeast Dental Centers Inc. 407 Spruce Street Craig AK 99921 Ph: (907) 826-2273 |
| NPI Number | 1942328042 |
|---|---|
| Provider Enumeration Date | 03/27/2007 |
| Last Update Date | 08/22/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1942328042 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 122300000X | Dentist | 279670 (Alaska) | Primary |