NORTHERN LIGHTS DENTAL ANESTHESIA, LLC
NPI 1437568409
Dentist - Dentist Anesthesiologist in Anchorage, AK

Q: What is Northern Lights Dental Anesthesia, LLC's specialty?

The primary specialty registered for this NPI is Dentist, specializing in Dentist Anesthesiologist, with taxonomy code 1223D0004X.

Active since August 04, 2014

1231 W NORTHERN LIGHTS BLVD, STE 623, ANCHORAGE, AK 99503(907) 268-3109 Get Directions Write a Review

NPPES record last updated: August 21, 2024. Verified against the NPPES registry weekly; last sync: August 09, 2026.

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About Northern Lights Dental Anesthesia, Llc NPPES

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

NORTHERN LIGHTS DENTAL ANESTHESIA, LLC (NPI 1437568409) is a healthcare organization registered as a dentist anesthesiologist in Anchorage, Alaska and active in the NPI registry since August 2014. The organization maintains a secondary practice location in Anchorage and lists Kenley Dane Michaud, Ceo, as its authorized official.

NPPES Registry Identity

NPI1437568409

Entity TypeOrganization

Primary Taxonomy1223D0004X

Legal Business NameNORTHERN LIGHTS DENTAL ANESTHESIA, LLC

Location Address1231 W NORTHERN LIGHTS BLVD, STE 623Anchorage, AK 99503-2337

Mailing Address205 E Dimond Blvd # 200Anchorage, AK 99515-1909 · (907) 268-3109

Phone(907) 268-3109

Organization SubpartNo

Authorized OfficialKenley Dane MichaudCeo · (907) 268-3109

Enumeration DateAugust 4, 2014

Last NPPES UpdateAugust 21, 2024

NPPES CertifiedAugust 5, 2024

✔ NPI 1437568409 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDentist · Dentist AnesthesiologistDental Providers

Taxonomy Code1223D0004X

License✔ Licensed in AK · 1547

Definition

A dentist who has successfully completed an accredited postdoctoral anesthesiology residency training program for dentists of two or more years duration, in accord with Commission on Dental Accreditation's Standards for Dental Anesthesiology Residency Programs, and/or meets the eligibility requirements for examination by the American Dental Board of Anesthesiology.

1231 W NORTHERN LIGHTS BLVD, Anchorage, AK 99503

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Secondary Practice Location 1

Location 11415 Orca Street Unit 1Anchorage, AK 99501 · Phone (907) 268-3109

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

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. PATRICK WAYNE CAMPAIGN OD

Optometrist

1231 W NORTHERN LIGHTS BLVD, SUITE 423
ANCHORAGE, AK 99503

Anchorage Municipality (907) 306-3182

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 Northern Lights Dental Anesthesia, LLC's NPI number?

The NPI number for Northern Lights Dental Anesthesia, LLC is 1437568409. It was assigned to this organization in the NPPES registry on August 4, 2014.

Where is Northern Lights Dental Anesthesia, LLC located?

Northern Lights Dental Anesthesia, LLC is located at 1231 W Northern Lights Blvd Ste 623, Anchorage, AK 99503. The listed phone number is (907) 268-3109.

What is Northern Lights Dental Anesthesia, LLC's specialty?

The primary specialty registered for this NPI is Dentist, specializing in Dentist Anesthesiologist, with taxonomy code 1223D0004X.

When was this NPI record last updated?

The NPPES record for Northern Lights Dental Anesthesia, LLC was last updated on August 21, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 23 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.