MAT-SU PLASTIC SURGERY LLC
NPI 1861776791
Plastic Surgery in Palmer, AK

Active since October 11, 2011
2490 S WOODWORTH LOOP, SUITE 310, PALMER, AK 99645(907) 746-6100 Get Directions Write a Review

NPPES record last updated: October 11, 2011. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Mat-su Plastic Surgery Llc NPPES

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

MAT-SU PLASTIC SURGERY LLC (NPI 1861776791) is a healthcare organization registered as a plastic surgery in Palmer, Alaska and active in the NPI registry since October 2011. The organization lists Susan J Dean, Owner, as its authorized official.

NPPES Registry Identity

NPI1861776791
Entity TypeOrganization
Primary Taxonomy208200000X
Legal Business NameMAT-SU PLASTIC SURGERY LLC
Location Address2490 S WOODWORTH LOOP, SUITE 310Palmer, AK 99645-7405
Mailing Address2490 S Woodworth Loop, Suite 310Palmer, AK 99645-7405
Organization SubpartNo
Authorized OfficialSusan J DeanOwner · (704) 859-6261
Enumeration DateOctober 11, 2011
NPI 1861776791 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyPlastic SurgeryAllopathic & Osteopathic Physicians
Taxonomy Code208200000X
License Licensed in AK · 6242
Definition

A plastic surgeon deals with the repair, reconstruction or replacement of physical defects of form or function involving the skin, musculoskeletal system, craniomaxillofacial structures, hand, extremities, breast and trunk and external genitalia or cosmetic enhancement of these areas of the body. Cosmetic surgery is an essential component of plastic surgery. The plastic surgeon uses cosmetic surgical principles to both improve overall appearance and to optimize the outcome of reconstructive procedures. The surgeon uses aesthetic surgical principles not only to improve undesirable qualities of normal structures but in all reconstructive procedures as well.

2490 S WOODWORTH LOOP, Palmer, AK 99645

Other Identifiers 1

Medicaid8928018NC

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 19

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

Otolaryngology (Otolaryngology/Facial Plastic Surgery)
2490 S WOODWORTH LOOP, SUITE 201
PALMER, AK 99645
Orthopaedic Surgery
2490 S WOODWORTH LOOP, SUITE 350
PALMER, AK 99645
Surgery
2490 S WOODWORTH LOOP, SUITE 300
PALMER, AK 99645
Surgery
2490 S WOODWORTH LOOP, SUITE 450
PALMER, AK 99645
Radiology (Radiation Oncology)
2490 S WOODWORTH LOOP, SUITE 150
PALMER, AK 99645
Surgery
2490 S WOODWORTH LOOP, SUITE 300
PALMER, AK 99645
Advanced Practice Midwife
2490 S WOODWORTH LOOP, SUITE 301
PALMER, AK 99645
Pathology (Anatomic Pathology & Clinical Pathology)
2490 S WOODWORTH LOOP, SUITE 410
PALMER, AK 99645

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 Mat-Su Plastic Surgery LLC's NPI number?

The NPI number for Mat-Su Plastic Surgery LLC is 1861776791. It was assigned to this organization in the NPPES registry on October 11, 2011.

Where is Mat-Su Plastic Surgery LLC located?

Mat-Su Plastic Surgery LLC is located at 2490 S Woodworth Loop Suite 310, Palmer, AK 99645. The listed phone number is (907) 746-6100.

What is Mat-Su Plastic Surgery LLC's specialty?

The primary specialty registered for this NPI is Plastic Surgery with taxonomy code 208200000X.

When was this NPI record last updated?

The NPPES record for Mat-Su Plastic Surgery LLC was last updated on October 11, 2011. NPI Profile syncs with the weekly NPPES data releases published by CMS.