Dental- Indian Creek Dental Clinic is a Dental Clinic in Tyonek, Alaska. This organization is also known as sub part of Southcentral Foundation. It is located at 101 Indian Creek Road, Tyonek, AK and its contact number is 907-583-2461. The authorized person for Dental- Indian Creek Dental Clinic is Ronald Lee Olson
who is Executive Vice President Finance of the clinic and their contact number is 907-729-4939. The primary license number for Dental- Indian Creek Dental Clinic is 20467 (General Practice) in Alaska. Dental- Indian Creek Dental Clinic 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:
Dental- Indian Creek Dental Clinic Clinic speciality, address, contact phone number and fax are as below.
Patients can call on the below given phone number for appointments.
Name:
Dental- Indian Creek Dental Clinic
Specialization:
General Practice Dentistry
Clinic Address:
101 Indian Creek Road, Tyonek, Alaska, 99682
Phone:
907-583-2461
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:
Ronald Lee Olson
Position:
Executive Vice President Finance
Contact Number:
907-729-4939
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 Dental- Indian Creek Dental Clinic clinic are as mentioned below.
NPI Number:
1659828556
Parent Organization:
Southcentral Foundation
NPI Enumeration Date:
08 Sep, 2016
NPI Last Update On:
14 Sep, 2023
Medical Licenses:
Organizations can have one or more medical licenses for different specialities in the same state or different states. Related medical licenses for Dental- Indian Creek Dental Clinic are as mentioned below.
Specialization
License Number
State
Status
General Practice
20467
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
1654559
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:
Dental- Indian Creek Dental Clinic Po Box 35151, Seattle, Washington
Zip:
98124-5151
Phone Number:
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Patients can reach Dental- Indian Creek Dental Clinic at 101 Indian Creek Road, Tyonek, Alaska or can call to book an appointment on 907-583-2461. Data of this site is collected from Medicare & Medicaid Services (CMS) and NPPES. Last updated on 11 March, 2024.