SOUTH ANCHORAGE DENTAL CLINIC LLC
NPI 1568623106
Dental Assistant in Anchorage, AK

Q: What is South Anchorage Dental Clinic LLC's NPI number?

The NPI number for South Anchorage Dental Clinic LLC is 1568623106. It was assigned to this organization in the NPPES registry on June 17, 2008.

Q: What is South Anchorage Dental Clinic LLC's specialty?

The primary specialty registered for this NPI is Dental Assistant with taxonomy code 126800000X.

Active since June 17, 2008

9170 JEWEL LAKE ROAD, SUITE 201, ANCHORAGE, AK 99502(907) 248-7275(907) 248-7221 Get Directions Write a Review

NPPES record last updated: June 17, 2008. Verified against the NPPES registry weekly; last sync: September 06, 2026.

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About South Anchorage Dental Clinic Llc NPPES

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

SOUTH ANCHORAGE DENTAL CLINIC LLC (NPI 1568623106) is a healthcare organization registered as a dental assistant in Anchorage, Alaska and active in the NPI registry since June 2008. The organization lists Scott Hebertson, President, as its authorized official.

NPPES Registry Identity

NPI1568623106

Entity TypeOrganization

Primary Taxonomy126800000X

Legal Business NameSOUTH ANCHORAGE DENTAL CLINIC LLC

Location Address9170 JEWEL LAKE ROAD, SUITE 201Anchorage, AK 99502

Mailing Address9170 Jewel Lake Road, Suite 201Anchorage, AK 99502 · (907) 248-7275 · Fax (907) 248-7221

Phone(907) 248-7275

Fax(907) 248-7221

Organization SubpartNo

Authorized OfficialScott HebertsonPresident · (907) 248-7275

Enumeration DateJune 17, 2008

✔ NPI 1568623106 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDental AssistantDental Providers

Taxonomy Code126800000X

Licenses✔ Licensed in AK · AA625✔ Licensed in AK · 1009

Definition

An individual who may or may not have completed an accredited dental assisting education program and who aids the dentist in providing patient care services and performs other nonclinical duties in the dental office or other patient care facility. The scope of the patient care functions that may be legally delegated to the dental assistant varies based on the needs of the dentist the educational preparation of the dental assistant and state dental practice acts and regulations. Patient care services are provided under the supervision of a dentist. To avoid misleading the public, no occupational title other than dental assistant should be used to describe this dental auxiliary.

9170 JEWEL LAKE ROAD, Anchorage, AK 99502

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Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-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 South Anchorage Dental Clinic LLC's NPI number?

The NPI number for South Anchorage Dental Clinic LLC is 1568623106. It was assigned to this organization in the NPPES registry on June 17, 2008.

Where is South Anchorage Dental Clinic LLC located?

South Anchorage Dental Clinic LLC is located at 9170 Jewel Lake Road Suite 201, Anchorage, AK 99502. The listed phone number is (907) 248-7275.

What is South Anchorage Dental Clinic LLC's specialty?

The primary specialty registered for this NPI is Dental Assistant with taxonomy code 126800000X.

When was this NPI record last updated?

The NPPES record for South Anchorage Dental Clinic LLC was last updated on June 17, 2008. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 18 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.