Derek Green Dmd Llc is a Dental Clinic in Anchorage, Alaska. This organization is also known as sub part of Derek Green Dmd Llc. It is located at 4361 Boniface Pkwy, Anchorage, AK and its contact number is 907-333-1211. The authorized person for Derek Green Dmd Llc is Dr. Derek Thomas Green
who is Owner of the clinic and their contact number is 480-370-0696. Other organizations associated with this clinic are Family Medical Dental Center Of Alaska Inc, Family Medical Dental Center Llc, Derek Green Dmd Llc,
Derek Green Dmd Llc 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:
Derek Green Dmd Llc Clinic speciality, address, contact phone number and fax are as below.
Patients can call on the below given phone number for appointments.
| Name: | Derek Green Dmd Llc |
| Specialization: | General Practice Dentistry |
| Clinic Address: | 4361 Boniface Pkwy, Anchorage,
Alaska, 99504-4314 |
| Phone: | 907-333-1211 |
| Fax: | 907-743-2925 |
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. Derek Thomas Green |
| Position: | Owner |
| Contact Number: | 480-370-0696 |
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 Derek Green Dmd Llc clinic are as mentioned below.
| NPI Number: | 1578130175 |
| Parent Organization: | Derek Green Dmd Llc |
| NPI Enumeration Date: | 10 Jun, 2021 |
| NPI Last Update On: | 10 Jun, 2021 |
Other Associated Organizations:
Other organizations which are associated with this clinic are as mentioned below. These organization share the same address but have similar or different specialization.
Speciality of these organizations are also mentioned below.
| Name | Specialization | NPI Number |
| Family Medical Dental Center Of Alaska Inc | General Practice Dentistry | 1104996214 |
| Derek Green Dmd Llc | General Practice Dentistry | 1578130175 |
Medical Licenses:
Organizations can have one or more medical licenses for different specialities in the same state or different states. Related medical licenses for Derek Green Dmd Llc 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 |
| 1684562 | 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: | Derek Green Dmd Llc
4361 Boniface Pkwy,
Anchorage, Alaska |
| Zip: | 99504-4314 |
| Phone Number: | 907-333-1211 |
| Fax Number: | 907-743-2925 |
Patients can reach Derek Green Dmd Llc at
4361 Boniface Pkwy, Anchorage, Alaska or can
call to book an appointment on 907-333-1211.
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**Data of this site is collected from Medicare & Medicaid Services (CMS) and NPPES. Last updated on
08 December, 2025.