| Timbercrest Dental | |
|
2270 Nistler Rd Delta Junction AK 99737-0985 | |
| (907) 895-4274 | |
| (907) 895-4276 |
| Full Name | Timbercrest Dental |
|---|---|
| Speciality | Dentist - General Practice |
| Location | 2270 Nistler Rd, Delta Junction, Alaska |
| Authorized Official Name and Position | Paul Charles Anderson (PRESIDENT) |
| Authorized Official Contact | 9078954274 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Timbercrest Dental Po Box 985 Delta Junction AK 99737-0985 Ph: (907) 895-4274 | Timbercrest Dental 2270 Nistler Rd Delta Junction AK 99737-0985 Ph: (907) 895-4274 |
| NPI Number | 1730490996 |
|---|---|
| Provider Enumeration Date | 06/23/2010 |
| Last Update Date | 07/23/2013 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1730490996 | NPI | - | NPPES |
| DDG033 | Medicaid | AK | |
| DD08701 | Medicaid | AK |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | (Alaska) | Primary |
The Delta Dentist, Pc Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 266 Richardson Hwy, Delta Junction, AK 99737 Phone: 907-895-2200 |