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

NPI Status: Active since August 03, 2016

Contact Information

110 E SWANSON AVE
WASILLA, AK
ZIP 99654
Phone: (907) 376-5207

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  • Organization
  • Dentist
  • General Practice
  • Accepts Insurance

About LUCILLE DENTAL,LLC

This page provides the complete NPI Profile along with additional information for Lucille Dental,llc, a provider established in Wasilla, Alaska operating as a Dentist, focusing in general practice . The healthcare provider is registered in the NPI registry with number 1891248118 assigned on August 2016. The practitioner's primary taxonomy code is 1223G0001X with license number 1040252 (AK). The provider is registered as an organization and their NPI record was last updated 9 years ago. Lucille Dental,llc operates as a multi-specialty business group with one or more individual providers who practice different areas of specialization. The authorized official of this NPI record is Kris P Gurr D.d.s. (Owner/president)

NPI
1891248118
Provider Name
LUCILLE DENTAL,LLC
Entity Type
Organization
Location Address
110 E SWANSON AVE WASILLA, AK 99654
Location Phone
(907) 376-5207
Mailing Address
110 E SWANSON AVE WASILLA, AK 99654
Mailing Phone
(907) 376-5207
Is Sole Proprietor?
No
Is Organization Subpart?
No
Enumeration Date
08-03-2016
Last Update Date
08-03-2016
Code Navigator

A dentist like Lucille Dental,llc is a skilled in and licensed provider that diagnoses and treats problems with patients teeth, gums, and related parts of the mouth. Dentists educate patients on how to take care of the teeth and gums and provide information on diet choices that affect oral health. Dentists must be licensed in the state in which they work.

Location Map

Specialty - Primary Taxonomy

The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.

Classification

Dentist General Practice

Taxonomy Code
1223G0001X
Type
Dental Providers
License No.
1040252
License State
AK
Taxonomy Description
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.

Secondary Taxonomies

The provider has reported to the NPI enumerator additional taxonomy codes. Multiple taxonomy codes may represent subspecialties or other areas of specialization the provider maybe licensed to practice.

No. Taxonomy Code Type Classification /
Specialization
License No. (State)
1124Q00000XDental Providers

Dental Hygienist

 
2126800000XDental Providers

Dental Assistant

 

Group Taxonomy 193200000X MULTI-SPECIALTY GROUP

This provider is a business group of one or more individual practitioners, who practice with different areas of specialization.

Insurance Plans Accepted

According to publicly available information the provider might be accepting the following health plans from these health insurance companies:

  • Delta Dental PPO 1000 Plan - PPO
  • Delta Dental PPO 1500 Plan - PPO
  • Delta Dental Premier Healthy Smiles - Indemnity
  • Delta Dental Premier Plan - Indemnity
  • Moda Pioneer Alaska Standard Bronze - PPO
  • Moda Pioneer Alaska Standard Gold - PPO
  • Moda Pioneer Alaska Standard Silver - PPO
  • Moda Pioneer Bronze 6500 - PPO
  • Moda Pioneer Bronze HDHP 5500 - PPO
  • Moda Pioneer Gold 1500 - PPO
  • Moda Pioneer Silver 4500 - PPO
  • Premera Blue Cross Alaska One Gold - PPO
  • Premera Blue Cross Preferred Bronze 5800 HSA - PPO
  • Premera Blue Cross Preferred Bronze 6350 - PPO
  • Premera Blue Cross Preferred Gold 1500 - PPO
  • Premera Blue Cross Preferred Silver 4500 - PPO
  • Premera Blue Cross Standard Bronze II - PPO
  • Premera Blue Cross Standard Gold - PPO
  • Premera Blue Cross Standard Silver - PPO

*Please verify directly with this provider to make sure your insurance plan is currently accepted.

Authorized Official

The authorized official is the designated individual with the legal authority to make changes to the provider’s official NPI record. For organizations, the authorized official must be a general partner, chairman of the board, CEO, CFO or a direct owner holding at least a 5 percent stake in the medical organization.

Authorized Official Name

KRIS P GURR D.D.S.

Authorized Official Title
OWNER/PRESIDENT
Authorized Official Phone
(480) 353-0027

Reviews for LUCILLE DENTAL,LLC

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NPI Validation Check Digit Calculation


The following table explains the step by step NPI number validation process using the ISO standard Luhn algorithm.

Start with the original NPI number, the last digit is the check digit and is not used in the calculation.
1891248118
Step 1: Double the value of the alternate digits, beginning with the rightmost digit.
28181441612
Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24.
2 + 8 + 1 + 8 + 1 + 4 + 4 + 1 + 6 + 1 + 2 + 24 = 62
Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit.
70 - 62 = 88

The NPI number 1891248118 is valid because the calculated check digit 8 using the Luhn validation algorithm matches the last digit of the original NPI number.

Other Providers at the Same Location


The following 2 providers are registered at the same or nearby location.

DR. KEVIN HEWETT COCHRAN D.M.D.

Dentist

(General Practice)

110 E SWANSON AVE
WASILLA, AK
ZIP 99654

(907) 376-5207

ALASKA DENTAL ARTS LLC

Dentist

(General Practice)

110 E SWANSON AVE
WASILLA, AK
ZIP 99654

(907) 376-5207

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1891248118, enumerated as an "organization" on August 03, 2016.

The provider is located at 110 E SWANSON AVE WASILLA, AK 99654 and the phone number is (907) 376-5207.

Dentist with taxonomy code 1223G0001X and a focus in General Practice.

The provider might be accepting Accepts: Delta Dental of Alaska, Moda Health Plan, Inc. and. Please consult your insurance carrier or call the provider to verify.