| Dr Leonardo Manuel Rios-andersen, DMD | |
|
12641 Old Glenn Hwy Ste 103, Eagle River, AK 99577-7040 | |
| (907) 726-5600 | |
| (907) 726-5602 |
| Full Name | Dr Leonardo Manuel Rios-andersen |
|---|---|
| Gender | Male |
| Speciality | Dentist - Oral And Maxillofacial Surgery |
| Location | 12641 Old Glenn Hwy Ste 103, Eagle River, Alaska |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1699735050 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223S0112X | Dentist - Oral And Maxillofacial Surgery | 02558 (Puerto Rico) | Secondary |
| 1223S0112X | Dentist - Oral And Maxillofacial Surgery | DEND1448 (Alaska) | Primary |
| Entity Name | Summit Oral Surgery Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1174709927 PECOS PAC ID: 1052490828 Enrollment ID: O20080505000610 |
| Mailing Address | Practice Location Address |
|---|---|
| Dr Leonardo Manuel Rios-andersen, DMD 12641 Old Glenn Hwy Ste 103, Eagle River, AK 99577-7040 Ph: (907) 726-5600 | Dr Leonardo Manuel Rios-andersen, DMD 12641 Old Glenn Hwy Ste 103, Eagle River, AK 99577-7040 Ph: (907) 726-5600 |
Dr. Brett Leroy Keeler, DDS Dentist Medicare: Not Enrolled in Medicare Practice Location: 13012 Old Glenn Hwy, Stu. 101a, Eagle River, AK 99577 Phone: 907-694-2129 Fax: 907-694-1129 | |
Dr. Joel Richard Wallace, D.D.S. Dentist Medicare: Not Enrolled in Medicare Practice Location: 16727 Farm Avenue, Eagle River, AK 99577 Phone: 907-694-4032 | |
James M Yassick, D.D.S Dentist Medicare: Not Enrolled in Medicare Practice Location: 13012 Old Glenn Hwy, Suite #102, Eagle River, AK 99577 Phone: 907-694-2409 Fax: 907-694-2451 | |
Mrs. Courtney Schwartz, DDS Dentist Medicare: Medicare Enrolled Practice Location: 17101 Snowmobile Ln Ste 107, Eagle River, AK 99577 Phone: 907-622-6233 | |
Amanda Linn Kempainen, DMD Dentist Medicare: Not Enrolled in Medicare Practice Location: 12641 Old Glenn Hwy Ste 104204, Eagle River, AK 99577 Phone: 907-622-7874 | |
Dr. Enoch Nathan Ross, DDS Dentist Medicare: Not Enrolled in Medicare Practice Location: 12641 Old Glenn Hwy, Suite 104, Eagle River, AK 99577 Phone: 907-622-7874 Fax: 907-622-7876 | |
Dr. Dale F Burke, DDS Dentist Medicare: Not Enrolled in Medicare Practice Location: 11431 Business Blvd, Eagle River, AK 99577 Phone: 907-696-2875 |