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SOUTH ANCHORAGE DENTAL CENTER
NPI 1841580966
Preferred Provider Organization in Anchorage, AK

Active since April 11, 2011
9170 JEWEL LAKE RD STE 201, ANCHORAGE, AK 99502(907) 248-7275(907) 248-7221 Get Directions Write a Review

NPPES record last updated: April 11, 2011. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About South Anchorage Dental Center NPPES

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

SOUTH ANCHORAGE DENTAL CENTER (NPI 1841580966) is a healthcare organization registered as a preferred provider organization in Anchorage, Alaska and active in the NPI registry since April 2011. The organization lists Broc Wayne Brimhall, Dentist, as its authorized official.

NPPES Registry Identity

NPI1841580966
Entity TypeOrganization
Primary Taxonomy305R00000X
Legal Business NameSOUTH ANCHORAGE DENTAL CENTER
Location Address9170 JEWEL LAKE RD STE 201Anchorage, AK 99502-5390
Mailing Address9170 Jewel Lake Rd Ste 201Anchorage, AK 99502-5390 · (907) 248-7275 · Fax (907) 248-7221
Phone(907) 248-7275
Fax(907) 248-7221
Organization SubpartNo
Authorized OfficialBroc Wayne BrimhallDentist · (907) 248-7275
Enumeration DateApril 11, 2011
✔ NPI 1841580966 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPreferred Provider OrganizationManaged Care Organizations
Taxonomy Code305R00000X
License✔ Licensed in AK · 1308
Definition
A group of physicians and/or hospitals who contract with an employer to provide services to their employees. In a PPO, the patient may got to the physician of his/her choice, even if that physician does not participate in the PPO, but the patient receives care at a lower benefit level.
9170 JEWEL LAKE RD STE 201, Anchorage, AK 99502
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Other Identifiers 1

MedicaidDD0040AK

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.Insurance ›

Other Providers at the Same Location NPPES 2

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

MATTHEW BOYCE DMD
Dentist
9170 JEWEL LAKE RD STE 201
ANCHORAGE, AK 99502
Anchorage Municipality (907) 248-7275
BROC WAYNE BRIMHALL D.M.D
Dentist (General Practice)
9170 JEWEL LAKE RD STE 201
ANCHORAGE, AK 99502
Anchorage Municipality (907) 248-7275

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 Center's NPI number?

The NPI number for South Anchorage Dental Center is 1841580966. It was assigned to this organization in the NPPES registry on April 11, 2011.

Where is South Anchorage Dental Center located?

South Anchorage Dental Center is located at 9170 Jewel Lake Rd Ste 201, Anchorage, AK 99502. The listed phone number is (907) 248-7275.

What is South Anchorage Dental Center's specialty?

The primary specialty registered for this NPI is Preferred Provider Organization with taxonomy code 305R00000X.

What insurance does South Anchorage Dental Center accept?

Health plans from Delta Dental of Alaska, Moda Health Plan, Inc. and Premera Blue Cross Blue Shield of Alaska list South Anchorage Dental Center 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 South Anchorage Dental Center was last updated on April 11, 2011. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 15 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.