| The Delta Dentist, Pc | |
|
266 Richardson Hwy Delta Junction AK 99737-9800 | |
| (907) 895-2200 | |
| Not Available |
| Full Name | The Delta Dentist, Pc |
|---|---|
| Speciality | Clinic/center - Dental |
| Location | 266 Richardson Hwy, Delta Junction, Alaska |
| Authorized Official Name and Position | Bradley Oliver (OWNER) |
| Authorized Official Contact | 9078952200 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| The Delta Dentist, Pc Po Box 1269 Delta Junction AK 99737-1269 Ph: (907) 895-2200 | The Delta Dentist, Pc 266 Richardson Hwy Delta Junction AK 99737-9800 Ph: (907) 895-2200 |
| NPI Number | 1053712588 |
|---|---|
| Provider Enumeration Date | 09/16/2014 |
| Last Update Date | 07/04/2016 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1053712588 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QD0000X | Clinic/center - Dental | 815 (Alaska) | Primary |
Molar Enterprise, Inc. Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 2270 Nistler Rd, Delta Junction, AK 99737 Phone: 907-895-4274 Fax: 907-895-4276 |