is a Dental Clinic in Wasilla, Alaska. It is located at 3161 E Palmer Wasilla Hwy, Ste 5, Wasilla, AK and its contact number is 907-357-5214. The authorized person for is Dr. Kelly Wade Lucas
who is Owner/practitioner of the clinic and their contact number is 907-357-5214. The primary license number for is 673 (General Practice) in Alaska. 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:
3161 E Palmer Wasilla Hwy, Ste 5, Wasilla, Alaska, 99654-7271
Phone:
907-357-5214
Fax:
907-357-5213
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:
Dr. Kelly Wade Lucas
Position:
Owner/practitioner
Contact Number:
907-357-5214
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:
1376089128
NPI Enumeration Date:
17 Jan, 2017
NPI Last Update On:
17 Jan, 2017
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
673
Alaska
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
1003119
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:
3161 E Palmer Wasilla Hwy, Ste 5 Wasilla, Alaska
Zip:
99654-7271
Phone Number:
907-357-5214
Fax Number:
907-357-5213
Patients can reach at 3161 E Palmer Wasilla Hwy, Ste 5, Wasilla, Alaska or can call to book an appointment on 907-357-5214. Data of this site is collected from Medicare & Medicaid Services (CMS) and NPPES. Last updated on 10 February, 2025.