is a Dental Clinic in Wasilla, Alaska. It is located at 1001 E. Usa Circle, Suite B, Wasilla, AK and its contact number is 907-357-6800. The authorized person for is Hans P Nordstrom
who is Owner of the clinic and their contact number is 907-357-6800. The primary license number for is 1135 (Dentist) in Alaska. Clinic have dental surgeons who are specialized in dentistry, diagnosis, prevention, and treatment of diseases and conditions of the oral cavity. The dentist's supporting team aids in providing oral health services. The dental team includes dental assistants, dental hygienists, dental technicians, and sometimes dental therapists.
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:
Dentistry
Clinic Address:
1001 E. Usa Circle, Suite B, Wasilla, Alaska, 99654-7198
Phone:
907-357-6800
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:
Hans P Nordstrom
Position:
Owner
Contact Number:
907-357-6800
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:
1689816969
NPI Enumeration Date:
01 Apr, 2009
NPI Last Update On:
01 Apr, 2009
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
Dentist
1135
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
01634756
Other
United Concordia
DD53521
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:
1001 E. Usa Circle, Suite B Wasilla, Alaska
Zip:
99654-7198
Phone Number:
907-357-6800
Patients can reach at 1001 E. Usa Circle, Suite B, Wasilla, Alaska or can call to book an appointment on 907-357-6800. Data of this site is collected from Medicare & Medicaid Services (CMS) and NPPES. Last updated on 10 February, 2025.