| Northwind Dental | |
|
3719 E Meridian Loop Ste B Wasilla AK 99654-7273 | |
| (907) 373-2440 | |
| (907) 373-1920 |
| Full Name | Northwind Dental |
|---|---|
| Speciality | Clinic/center - Dental |
| Location | 3719 E Meridian Loop Ste B, Wasilla, Alaska |
| Authorized Official Name and Position | Thayne Joray Dawson (OWNER) |
| Authorized Official Contact | 9077079421 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Northwind Dental 6110 N Talgach View Dr Wasilla AK 99654-9044 Ph: (208) 351-6538 | Northwind Dental 3719 E Meridian Loop Ste B Wasilla AK 99654-7273 Ph: (907) 373-2440 |
| NPI Number | 1518571538 |
|---|---|
| Provider Enumeration Date | 09/08/2020 |
| Last Update Date | 07/31/2023 |
| Certification Date | 07/31/2023 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1518571538 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QD0000X | Clinic/center - Dental | (NU) | Primary |
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