| Denaina Dental Clinic | |
|
508 Upland St Kenai AK 99611-8026 | |
| (907) 335-7500 | |
| (907) 335-2155 |
| Full Name | Denaina Dental Clinic |
|---|---|
| Speciality | Clinic/center - Federally Qualified Health Center (fqhc) |
| Location | 508 Upland St, Kenai, Alaska |
| Authorized Official Name and Position | Christopher Koski (DIRECTOR OF HEALTH SYSTEMS) |
| Authorized Official Contact | 9073357557 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Denaina Dental Clinic Po Box 988 Kenai AK 99611-0988 Ph: (907) 335-7500 | Denaina Dental Clinic 508 Upland St Kenai AK 99611-8026 Ph: (907) 335-7500 |
| NPI Number | 1295972677 |
|---|---|
| Provider Enumeration Date | 01/07/2009 |
| Last Update Date | 02/09/2024 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1295972677 | NPI | - | NPPES |
| 021855 | Other | AK | FQHC CERTIFICATION NUMBER |
| DDG | Medicaid | AK |
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