NPI 1003278698

Thomas Nelson Wanat, DMDMS

Practitioner Periodontics Anchorage, AK

Practice location

Address: 4501 Diplomacy Dr, Anchorage, AK 99508-5919
Phone: (907) 729-1729

Registered specialties

Periodontics Primary

Dental Providers Taxonomy 1223P0300X Licence 111046 (AK)

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Registry record

NPI: 1003278698
Entity type: Individual
Sex (as registered): Male
NPI issued: 23 Mar 2016
Record last updated: 27 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.