PREVENTIVE DENTAL SERVICES, A PROFESSIONAL CORPORATION
NPI 1922341734
Dentist in Homer, AK

Q: What is Preventive Dental Services, A Professional Corporation's specialty?

The primary specialty registered for this NPI is Dentist with taxonomy code 122300000X.

Active since March 29, 2013

549 GRUBSTAKE AVE, SUITE #A, HOMER, AK 99603(907) 235-1286(907) 235-1263 Get Directions Write a Review

NPPES record last updated: March 29, 2013. Verified against the NPPES registry weekly; last sync: August 16, 2026.

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About Preventive Dental Services, A Professional Corporation NPPES

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

PREVENTIVE DENTAL SERVICES, A PROFESSIONAL CORPORATION (NPI 1922341734) is a healthcare organization registered as a dentist in Homer, Alaska and active in the NPI registry since March 2013. The organization lists Susan Jeanne Polis, Dentist, as its authorized official.

NPPES Registry Identity

NPI1922341734

Entity TypeOrganization

Primary Taxonomy122300000X

Legal Business NamePREVENTIVE DENTAL SERVICES, A PROFESSIONAL CORPORATION

Location Address549 GRUBSTAKE AVE, SUITE #AHomer, AK 99603-7640

Mailing Address549 Grubstake Ave, Suite #aHomer, AK 99603-7640 · (907) 235-1286 · Fax (907) 235-1263

Phone(907) 235-1286

Fax(907) 235-1263

Organization SubpartNo

Authorized OfficialSusan Jeanne PolisDentist · (907) 235-1286

Enumeration DateMarch 29, 2013

✔ NPI 1922341734 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDentistDental Providers

Taxonomy Code122300000X

Definition

A dentist is a person qualified by a doctorate in dental surgery (D.D.S.) or dental medicine (D.M.D.), licensed by the state to practice dentistry, and practicing within the scope of that license. There is no difference between the two degrees: dentists who have a DMD or DDS have the same education. Universities have the prerogative to determine what degree is awarded. Both degrees use the same curriculum requirements set by the American Dental Association's Commission on Dental Accreditation. Generally, three or more years of undergraduate education plus four years of dental school is required to graduate and become a general dentist. State licensing boards accept either degree as equivalent, and both degrees allow licensed individuals to practice the same scope of general dentistry. Additional post-graduate training is required to become a dental specialist.

549 GRUBSTAKE AVE, Homer, AK 99603

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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

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

DR. SUSAN JEANNE POLIS DDS

Dentist (General Practice)

549 GRUBSTAKE AVE, SUITE A
HOMER, AK 99603

Kenai Peninsula Borough (907) 235-1286

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 Preventive Dental Services, A Professional Corporation's NPI number?

The NPI number for Preventive Dental Services, A Professional Corporation is 1922341734. It was assigned to this organization in the NPPES registry on March 29, 2013.

Where is Preventive Dental Services, A Professional Corporation located?

Preventive Dental Services, A Professional Corporation is located at 549 Grubstake Ave Suite #a, Homer, AK 99603. The listed phone number is (907) 235-1286.

What is Preventive Dental Services, A Professional Corporation's specialty?

The primary specialty registered for this NPI is Dentist with taxonomy code 122300000X.

When was this NPI record last updated?

The NPPES record for Preventive Dental Services, A Professional Corporation was last updated on March 29, 2013. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 13 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.