NPI 1124365622

Allen Dental Group LLC

Organisation Dentist Eagle River, AK

Practice location

Address: 17101 Snowmobile Ln Suite 107, Eagle River, AK 99577-7043
Phone: (907) 622-6233
Fax: (907) 622-6232

Authorised official

Name: Bradford C. Allen
Title: Owner/Member
Phone: (907) 622-6233

Registered specialties

Dentist Primary

Dental Providers Taxonomy 122300000X Licence 1327 (AK)

Other Dentist providers in Alaska →

Registry record

NPI: 1124365622
Entity type: Organization
NPI issued: 4 Jan 2013
Record last updated: 4 Jan 2013

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.