Lifehouse Dental Clinic is a Dental Clinic in Sutton, Alaska. This organization is also known as sub part of Southcentral Foundation. It is located at 11495 N. Callison Street, Sutton, AK and its contact number is 907-631-7665. The authorized person for Lifehouse 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 Lifehouse Dental Clinic is 20467 (General Practice) in Alaska. Lifehouse 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:
Lifehouse 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:
Lifehouse Dental Clinic
Specialization:
General Practice Dentistry
Clinic Address:
11495 N. Callison Street, Sutton, Alaska, 99674
Phone:
907-631-7665
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 Lifehouse Dental Clinic clinic are as mentioned below.
NPI Number:
1043767940
Parent Organization:
Southcentral Foundation
NPI Enumeration Date:
08 Sep, 2016
NPI Last Update On:
31 Aug, 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 Lifehouse 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
1654481
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:
Lifehouse Dental Clinic Po Box 35151, Seattle, Washington
Zip:
98124-5151
Phone Number:
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Patients can reach Lifehouse Dental Clinic at 11495 N. Callison Street, Sutton, Alaska or can call to book an appointment on 907-631-7665. Data of this site is collected from Medicare & Medicaid Services (CMS) and NPPES. Last updated on 11 March, 2024.