| Dental- Anmc Dental Clinic (eaglesoft & Dolphin) | |
|
4341 Tudor Centre Dr Anchorage AK 99508-5904 | |
| (907) 729-2000 | |
| Not Available |
| Full Name | Dental- Anmc Dental Clinic (eaglesoft & Dolphin) |
|---|---|
| Speciality | Dentist |
| Location | 4341 Tudor Centre Dr, Anchorage, Alaska |
| Authorized Official Name and Position | Ronald Lee Olson (EXECUTIVE VICE PRESIDENT FINANCE) |
| Authorized Official Contact | 9077294939 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Dental- Anmc Dental Clinic (eaglesoft & Dolphin) Po Box 35151 Seattle WA 98124-5151 Ph: () - | Dental- Anmc Dental Clinic (eaglesoft & Dolphin) 4341 Tudor Centre Dr Anchorage AK 99508-5904 Ph: (907) 729-2000 |
| NPI Number | 1861533408 |
|---|---|
| Provider Enumeration Date | 02/08/2007 |
| Last Update Date | 09/18/2023 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1861533408 | NPI | - | NPPES |
| 1580817 | Medicaid | AK | |
| 1003875 | Medicaid | AK | |
| 1636631 | Medicaid | AK |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 122300000X | Dentist | (* (Not Available)) | Primary |
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