Whalio Doctors

NPI 1316954670

Eric M Nordstrom, DDSMD

Practitioner Oral & Maxillofacial Surgery (D.M.D.) Anchorage, AK

Practice location

Address
2041 Tributary Cir, Anchorage, AK 99516-7318
Phone
(503) 545-9249

Registered specialties (2)

Oral & Maxillofacial Surgery (D.M.D.) Primary
Allopathic & Osteopathic Physicians Taxonomy 204E00000X Licence MEDS7783 (AK)
Dentist
Dental Providers Taxonomy 122300000X Licence 1136 (AK)

Registry record

NPI
1316954670
Entity type
Individual
Sex (as registered)
Male
NPI issued
1 Aug 2006
Record last updated
5 Oct 2015

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.