NPI 1568623106

South Anchorage Dental Clinic LLC

Organisation Dental Assistant Anchorage, AK

Practice location

Address: 9170 Jewel Lake Road Suite 201, Anchorage, AK 99502
Phone: (907) 248-7275
Fax: (907) 248-7221

Authorised official

Name: Scott Hebertson
Title: President
Phone: (907) 248-7275

Registered specialties (2)

Dental Assistant Primary

Dental Providers Taxonomy 126800000X Licence AA625 (AK)

Other Dental Assistant providers in Alaska →

Dental Assistant

Dental Providers Taxonomy 126800000X Licence 1009 (AK)

Registry record

NPI: 1568623106
Entity type: Organization
NPI issued: 17 Jun 2008
Record last updated: 17 Jun 2008

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.