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PETERSBURG DENTAL, INC.
NPI 1932543345
Dentist in Petersburg, AK

Active since April 29, 2013
806 S. NORDIC DR., PETERSBURG, AK 99833(907) 772-9246(907) 772-9278 Get Directions Write a Review

NPPES record last updated: April 29, 2013. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Petersburg Dental, Inc. NPPES

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

PETERSBURG DENTAL, INC. (NPI 1932543345) is a healthcare organization registered as a dentist in Petersburg, Alaska and active in the NPI registry since April 2013. The organization lists Jay Lister, Dds/president, as its authorized official.

NPPES Registry Identity

NPI1932543345
Entity TypeOrganization
Primary Taxonomy122300000X
Legal Business NamePETERSBURG DENTAL, INC.
Location Address806 S. NORDIC DR.Petersburg, AK 99833-0469
Mailing AddressPo Box 469Petersburg, AK 99833-0469 · (907) 772-9246 · Fax (907) 772-9278
Phone(907) 772-9246
Fax(907) 772-9278
Organization SubpartNo
Authorized OfficialJay ListerDds/president · (907) 772-9246
Enumeration DateApril 29, 2013
✔ NPI 1932543345 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDentistDental Providers
Taxonomy Code122300000X
License✔ Licensed in AK · 1096
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.
806 S. NORDIC DR., Petersburg, AK 99833
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Other Identifiers 1

MedicaidDD54042AK

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

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 and more.Insurance ›

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 Petersburg Dental, Inc.'s NPI number?

The NPI number for Petersburg Dental, Inc. is 1932543345. It was assigned to this organization in the NPPES registry on April 29, 2013.

Where is Petersburg Dental, Inc. located?

Petersburg Dental, Inc. is located at 806 S. Nordic Dr., Petersburg, AK 99833. The listed phone number is (907) 772-9246.

What is Petersburg Dental, Inc.'s specialty?

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

What insurance does Petersburg Dental, Inc. accept?

Health plans from Delta Dental of Alaska, Moda Health Plan, Inc., Premera Blue Cross Blue Shield of Alaska and UnitedHealthcare list Petersburg Dental, Inc. 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 Petersburg Dental, Inc. was last updated on April 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.