ALASKA DENTAL ARTS LLC NPI 1194062364

Dentist (General Practice) in Wasilla, AK

Organization Dentist General Practice

About ALASKA DENTAL ARTS LLC

Alaska Dental Arts Llc is a provider established in Wasilla, Alaska specializing in dentist. The NPI number of Alaska Dental Arts Llc is 1194062364 and was assigned on January 2013. The practitioner's primary taxonomy code is 1223G0001X with license number 1308 (AK). The provider is registered as an organization and their NPI record was last updated 7 years ago. Alaska Dental Arts Llc operates as a single speciality business group with one or more individual providers who practice the same area of specialization.
The authorized official of this NPI record is Terran Scheuffele (Practice Manger)

NPI

1194062364

Provider NameALASKA DENTAL ARTS LLC
Provider Location Address110 E SWANSON AVE WASILLA, AK 99654
Provider Mailing Address110 E SWANSON AVE WASILLA, AK 99654
NPI Entity TypeOrganization
Is Sole Proprietor?N/A
Is Organization Subpart?No
Enumeration Date01-08-2013
Last Update Date01-08-2013

Primary Taxonomy

Taxonomy Code1223G0001X
ClassificationDentist
TypeDental Providers
SpecializationGeneral Practice
License No.1308
License StateAK
Taxonomy DescriptionA general dentist is the primary dental care provider for patients of all ages. The general dentist is responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs.

Business Address

ALASKA DENTAL ARTS LLC
110 E SWANSON AVE
WASILLA, AK
ZIP 99654
Phone: (907) 376-5207

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Mailing Address

ALASKA DENTAL ARTS LLC
110 E SWANSON AVE
WASILLA, AK
ZIP 99654
Phone: (907) 376-5207

Authorized Official

Authorized Official Name TERRAN SCHEUFFELE
Authorized Official TitlePRACTICE MANGER
Authorized Official Phone(907) 248-7275

Group Taxonomy


193400000X SINGLE SPECIALTY GROUP - This provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.

Other Providers at the same location


The following 2 providers are registered at the same or nearby location.

NPI Name / Type Taxonomy Address
1831238450DR. KEVIN HEWETT COCHRAN D.M.D.
Individual
Dentist (General Practice)110 E SWANSON AVE
WASILLA, AK 99654
(907) 376-5207
1891248118LUCILLE DENTAL,LLC
Organization
Dentist (General Practice)110 E SWANSON AVE
WASILLA, AK 99654
(907) 376-5207

NPI Footnotes

What is the National Provider Indentifier (NPI)?
The NPI is 10-position all-numeric identification number assigned by the NPPES to uniquely identify a health care provider.

Provider Location Address
The location address of the provider being identified. For providers with more than one physical location, this is the primary location. This address cannot include a Post Office box.

Provider Mailing Address
The mailing address of the provider being identified. This address may contain the same information as the provider location address.

Entity Type Code
The code describing the type of health care provider that is being assigned an NPI.
The entity type codes are:
1 = Person: individual human being who furnishes health care;
2 = Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)

What is a Subpart?
Subparts are the components and separate physical locations of organization health care providers. Subpart examples include:
Hospital components include outpatient departments, surgical centers, psychiatric units, and laboratories. These components are often separately licensed or certified by States and may exist at physical locations other than that of the hospital of which they are a component.

Provider Other Organization Name
The other organization name is the alternative last name by which the provider is or has been known (if an individual) or other name by which the organization provider is or has been known. The code identifying the type of other name. The provider other organization name codes are:
1 = former name;
2 = professional name;
3 = doing business as (d/b/ a) name;
4 = former legal business name; :
5 = other.

Provider Enumeration Date
The date the provider was assigned a unique identifier (assigned an NPI).

Last Update Date
The date that a NPI record was last updated or changed.

Primary Taxonomy Code
The primary taxonomy code defines the provider type, classification, and specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.

Authorized Official Name
The name of the person authorized to submit the NPI application or to officially change data for a health care provider.

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