NPI 1063064863

Alan Bartelli

Practitioner General Practice Dentistry Wasilla, AK

Practice location

Address: 1700 E Bogard Rd STE 204, Wasilla, AK 99654-6563
Phone: (907) 376-9449
Fax: (907) 376-9339

Registered specialties

General Practice Dentistry Primary

Dental Providers Taxonomy 1223G0001X Licence 147621 (AK)

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Registry record

NPI: 1063064863
Entity type: Individual
Sex (as registered): Male
NPI issued: 11 Jul 2019
Record last updated: 11 Jul 2019

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.