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LUCILLE DENTAL,LLC
NPI 1891248118
Dentist - General Practice in Wasilla, AK

Active since August 03, 2016
110 E SWANSON AVE, WASILLA, AK 99654(907) 376-5207 Get Directions Write a Review

NPPES record last updated: August 3, 2016. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Lucille Dental,llc NPPES

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

LUCILLE DENTAL,LLC (NPI 1891248118) is a healthcare organization registered as a general practice in Wasilla, Alaska and active in the NPI registry since August 2016. The organization lists Kris P Gurr, Owner/president, as its authorized official.

NPPES Registry Identity

NPI1891248118
Entity TypeOrganization
Primary Taxonomy1223G0001X
Legal Business NameLUCILLE DENTAL,LLC
Location Address110 E SWANSON AVEWasilla, AK 99654-7024
Mailing Address110 E Swanson AveWasilla, AK 99654-7024 · (907) 376-5207
Phone(907) 376-5207
Organization SubpartNo
Authorized OfficialKris P GurrOwner/president · (480) 353-0027
Enumeration DateAugust 3, 2016
✔ NPI 1891248118 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

★ Primary SpecialtyDentist · General PracticeDental Providers
Taxonomy Code1223G0001X
License✔ Licensed in AK · 1040252
Definition
A general dentist is the primary dental care provider for patients of all ages. The general dentist is responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs.
Also ListedDental HygienistTaxonomy 124Q00000X
Also ListedDental AssistantTaxonomy 126800000X
110 E SWANSON AVE, Wasilla, AK 99654
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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

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.

ALASKA DENTAL ARTS LLC
Dentist (General Practice)
110 E SWANSON AVE
WASILLA, AK 99654
Matanuska-Susitna Borough (907) 376-5207
DR. KEVIN HEWETT COCHRAN D.M.D.
Dentist (General Practice)
110 E SWANSON AVE
WASILLA, AK 99654
Matanuska-Susitna Borough (907) 376-5207

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 Lucille Dental,llc's NPI number?

The NPI number for Lucille Dental,llc is 1891248118. It was assigned to this organization in the NPPES registry on August 3, 2016.

Where is Lucille Dental,llc located?

Lucille Dental,llc is located at 110 E Swanson Ave, Wasilla, AK 99654. The listed phone number is (907) 376-5207.

What is Lucille Dental,llc's specialty?

The primary specialty registered for this NPI is Dentist, specializing in General Practice, with taxonomy code 1223G0001X.

What insurance does Lucille Dental,llc accept?

Health plans from Delta Dental of Alaska, Moda Health Plan, Inc. and Premera Blue Cross Blue Shield of Alaska list Lucille Dental,llc 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 Lucille Dental,llc was last updated on August 3, 2016. NPI Profile syncs with the weekly NPPES data releases published by CMS.