Summit Oral Surgery Llc - Medicare Dental Clinic in Wasilla, AK

Summit Oral Surgery Llc is a medicare enrolled dental clinic (Dentist - Oral And Maxillofacial Surgery) in Wasilla, Alaska. The current practice location for Summit Oral Surgery Llc is 1700 E Bogard Rd Ste B202, Wasilla, Alaska. For appointments, you can reach them via phone at (907) 357-3414. The mailing address for Summit Oral Surgery Llc is 1700 E Bogard Rd Ste B202, Wasilla, Alaska and phone number is (907) 357-3414.

Summit Oral Surgery Llc is licensed to practice in Alaska (license number 1159). The clinic also participates in the medicare program and its NPI number is 1174709927. This medical practice accepts medicare insurance (which means this clinic accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance). However, please confirm if they accept your insurance at (907) 357-3414.

Contact Information

Summit Oral Surgery Llc
1700 E Bogard Rd Ste B202
Wasilla
AK 99654-6570
(907) 357-3414
(907) 357-3714

Dental Care Clinic Profile

Full NameSummit Oral Surgery Llc
SpecialityDentist
Location1700 E Bogard Rd Ste B202, Wasilla, Alaska
Authorized Official Name and PositionMatthew Anthony Welch (MEMBER)
Authorized Official Contact9073573414
Accepts Medicare InsuranceYes. This clinic participates in medicare program and accept medicare insurance.

Mailing Address and Practice Location

Mailing AddressPractice Location Address
Summit Oral Surgery Llc
1700 E Bogard Rd Ste B202
Wasilla
AK 99654-6570

Ph: (907) 357-3414
Summit Oral Surgery Llc
1700 E Bogard Rd Ste B202
Wasilla
AK 99654-6570

Ph: (907) 357-3414

NPI Details:

NPI Number1174709927
Provider Enumeration Date01/10/2008
Last Update Date01/10/2008

Medicare PECOS Information:

Medicare PECOS PAC ID1052490828
Medicare Enrollment IDO20080505000610

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Medical Identifiers

Medical identifiers for Summit Oral Surgery Llc such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1174709927NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
1223S0112XDentist - Oral And Maxillofacial Surgery 1159 (Alaska)Primary

Medicare Reassignments

Some practitioners may not bill the customers directly but medicare billing happens through clinics / group practice / hospitals where the provider works. Summit Oral Surgery Llc acts as a billing entity for following providers:
Provider NameLeonardo M Rios-andersen
Provider TypePractitioner - Maxillofacial Surgery
Provider IdentifiersNPI Number: 1699735050
PECOS PAC ID: 3577746247
Enrollment ID: I20110318000229

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Provider NameJames A Wimsatt
Provider TypePractitioner - Maxillofacial Surgery
Provider IdentifiersNPI Number: 1083601686
PECOS PAC ID: 3870727514
Enrollment ID: I20131011000090

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Dental Clinics in Wasilla, AK

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