Whalio Doctors

NPI 1003269408

Justin Erickson, DDS

Practitioner Dentist Anchorage, AK

Practice location

Address
4001 Lake Otis Pkwy #200, Anchorage, AK 99508-5200
Phone
(907) 222-0400

Registered specialties (2)

Dentist Primary
Dental Providers Taxonomy 122300000X Licence 110578 (AK)
Dentist
Dental Providers Taxonomy 122300000X Licence 60653265 (WA)

Registry record

NPI
1003269408
Entity type
Individual
Sex (as registered)
Male
NPI issued
20 Jul 2016
Record last updated
20 Jul 2016

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.