TC PEDIATRIC DENTISTRY LLC
NPI 1366243362
Dentist - Pediatric Dentistry in Ketchikan, AK

Q: What is Tc Pediatric Dentistry LLC's NPI number?

The NPI number for Tc Pediatric Dentistry LLC is 1366243362. It was assigned to this organization in the NPPES registry on March 24, 2025. The provider is doing business as Southeast Pediatric Dentistry.

Q: What is Tc Pediatric Dentistry LLC's specialty?

The primary specialty registered for this NPI is Dentist, specializing in Pediatric Dentistry, with taxonomy code 1223P0221X.

Active since March 24, 2025

21 JEFFERSON WAY STE 102A, KETCHIKAN, AK 99901(907) 220-9231 Get Directions Write a Review

NPPES record last updated: March 26, 2025. Verified against the NPPES registry weekly; last sync: August 16, 2026.

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About Tc Pediatric Dentistry Llc NPPES

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

TC PEDIATRIC DENTISTRY LLC (NPI 1366243362), doing business as Southeast Pediatric Dentistry, is a healthcare organization registered as a pediatric dentistry in Ketchikan, Alaska and active in the NPI registry since March 2025. The organization lists Brett Christensen, Owner/doctor, as its authorized official.

NPPES Registry Identity

NPI1366243362

Entity TypeOrganization

Primary Taxonomy1223P0221X

Legal Business NameTC PEDIATRIC DENTISTRY LLC

Location Address21 JEFFERSON WAY STE 102AKetchikan, AK 99901-5951

Mailing Address368 E Riverside Dr Ste 6Saint George, UT 84790-7278 · (435) 688-8827

Phone(907) 220-9231

Organization SubpartNo

Authorized OfficialBrett ChristensenOwner/doctor · (435) 669-9051

Enumeration DateMarch 24, 2025

Last NPPES UpdateMarch 26, 2025

NPPES CertifiedMarch 26, 2025

✔ NPI 1366243362 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDentist · Pediatric DentistryDental Providers

Taxonomy Code1223P0221X

Definition

An age-defined specialty that provides both primary and comprehensive preventive and therapeutic oral health care for infants and children through adolescence, including those with special health care needs.

21 JEFFERSON WAY STE 102A, Ketchikan, AK 99901

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Other Names 1

Doing Business AsSoutheast Pediatric Dentistry

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

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 Tc Pediatric Dentistry LLC's NPI number?

The NPI number for Tc Pediatric Dentistry LLC is 1366243362. It was assigned to this organization in the NPPES registry on March 24, 2025. The provider is doing business as Southeast Pediatric Dentistry.

Where is Tc Pediatric Dentistry LLC located?

Tc Pediatric Dentistry LLC is located at 21 Jefferson Way Ste 102A, Ketchikan, AK 99901. The listed phone number is (907) 220-9231.

What is Tc Pediatric Dentistry LLC's specialty?

The primary specialty registered for this NPI is Dentist, specializing in Pediatric Dentistry, with taxonomy code 1223P0221X.

When was this NPI record last updated?

The NPPES record for Tc Pediatric Dentistry LLC was last updated on March 26, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 16 months 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.