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JONATHAN OUDIN, DDS, LLC
NPI 1265167522
Dentist - General Practice in Wasilla, AK

Active since July 20, 2022
1700 E BOGARD RD STE A201, WASILLA, AK 99654(907) 373-8455(907) 373-8456 Get Directions Write a Review

NPPES record last updated: July 20, 2022. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Jonathan Oudin, Dds, Llc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

JONATHAN OUDIN, DDS, LLC (NPI 1265167522), doing business as Alaska Center For Dentistry, is a healthcare organization registered as a general practice in Wasilla, Alaska and active in the NPI registry since July 2022. The organization lists Jonathan Oudin, Owner, as its authorized official.

NPPES Registry Identity

NPI1265167522
Entity TypeOrganization
Primary Taxonomy1223G0001X
Legal Business NameJONATHAN OUDIN, DDS, LLC
Location Address1700 E BOGARD RD STE A201Wasilla, AK 99654-6569
Mailing Address1700 E Bogard Rd Ste A201Wasilla, AK 99654-6569 · (907) 373-8455 · Fax (907) 373-8456
Phone(907) 373-8455
Fax(907) 373-8456
Organization SubpartNo
Authorized OfficialJonathan OudinOwner · (214) 317-0521
Enumeration DateJuly 20, 2022
NPPES CertifiedJuly 20, 2022
✔ NPI 1265167522 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDentist · General PracticeDental Providers
Taxonomy Code1223G0001X
Definition
A 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.
1700 E BOGARD RD STE A201, Wasilla, AK 99654
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Other Names 1

Doing Business AsAlaska Center For Dentistry

Other Identifiers 1

Medicaid1574946AK

Group Practice 1

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

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Delta Dental of Alaska, Moda Health Plan, Inc., Premera Blue Cross Blue Shield of Alaska and more.Insurance ›

Other Providers at the Same Location NPPES

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

DR. JONATHAN ROBERT OUDIN D.D.S.
Dentist (General Practice)
1700 E BOGARD RD STE A201
WASILLA, AK 99654
Matanuska-Susitna Borough (907) 373-8455

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Jonathan Oudin, Dds, LLC's NPI number?

The NPI number for Jonathan Oudin, Dds, LLC is 1265167522. It was assigned to this organization in the NPPES registry on July 20, 2022. The provider is doing business as Alaska Center for Dentistry.

Where is Jonathan Oudin, Dds, LLC located?

Jonathan Oudin, Dds, LLC is located at 1700 E Bogard Rd Ste A201, Wasilla, AK 99654. The listed phone number is (907) 373-8455.

What is Jonathan Oudin, Dds, LLC's specialty?

The primary specialty registered for this NPI is Dentist, specializing in General Practice, with taxonomy code 1223G0001X.

What insurance does Jonathan Oudin, Dds, LLC accept?

Health plans from Delta Dental of Alaska, Moda Health Plan, Inc., Premera Blue Cross Blue Shield of Alaska and UnitedHealthcare list Jonathan Oudin, Dds, LLC as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Jonathan Oudin, Dds, LLC was last updated on July 20, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.