is a Dental Clinic in North Pole, Alaska. It is located at 190 Kevins Way, North Pole, AK and its contact number is 907-490-4650. The authorized person for is Jeremy Bauer
who is Dentist of the clinic and their contact number is 907-490-4650. Clinic caters to patients of all ages for their dental care needs. Dentists at the clinic are responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs.
Complete Clinic Profile:
Clinic speciality, address, contact phone number and fax are as below.
Patients can call on the below given phone number for appointments.
Name:
Specialization:
General Practice Dentistry
Clinic Address:
190 Kevins Way, North Pole, Alaska, 99705
Phone:
907-490-4650
Fax:
907-490-4653
Authorized/Official Person Profile:
Officially authorized person to contact for any management issues or complaints for this clinic are as below. Person's position and contact details are also mentioned below.
Name:
Jeremy Bauer
Position:
Dentist
Contact Number:
907-490-4650
Professional Identification Codes:
NPI number stands for National Provider Identifier which is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS).
NPI details for clinic are as mentioned below.
NPI Number:
1346640331
NPI Enumeration Date:
27 Aug, 2014
NPI Last Update On:
16 Apr, 2024
Medical Licenses:
Organizations can have one or more medical licenses for different specialities in the same state or different states. Related medical licenses for are as mentioned below.
Specialization
License Number
State
Status
General Practice
Primary
Other Medical Identifiers:
Other legacy medical identifiers of the clinic such as Medicaid, Medicare PIN, NSC, UPIN etc. are mentioned as below.
Identifier
Type
State
Issuer
1580510
Medicaid
Alaska
Business Mailing Address:
Business mailing address can be used for mailing purpose only, for visiting purpose patients need to refer above mentioned address.
Address:
190 Kevins Way, North Pole, Alaska
Zip:
99705
Phone Number:
907-490-4650
Fax Number:
907-490-4653
Patients can reach at 190 Kevins Way, North Pole, Alaska or can call to book an appointment on 907-490-4650. Data of this site is collected from Medicare & Medicaid Services (CMS) and NPPES. Last updated on 10 February, 2025.