Pediatric Dentistry Of Alaska is a Pediatric Dental Clinic in Wasilla, Alaska. It is located at 3470 E Meridian Park Loop, Wasilla, AK and its contact number is 907-373-8684. The authorized person for Pediatric Dentistry Of Alaska is Roger Duane Beck
who is Owner/president of the clinic and their contact number is 907-373-8684. The primary license number for Pediatric Dentistry Of Alaska is 924 (Dental) in Alaska. Pediatric Dentistry Of Alaska Clinic provides both primary and comprehensive preventive and therapeutic oral health care for infants and children through adolescence, including those with special health care needs.
Complete Clinic Profile:
Pediatric Dentistry Of Alaska Clinic speciality, address, contact phone number and fax are as below.
Patients can call on the below given phone number for appointments.
Name:
Pediatric Dentistry Of Alaska
Specialization:
Pediatric Dentistry
Clinic Address:
3470 E Meridian Park Loop, Wasilla, Alaska, 99654
Phone:
907-373-8684
Fax:
907-373-8465
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:
Roger Duane Beck
Position:
Owner/president
Contact Number:
907-373-8684
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 Pediatric Dentistry Of Alaska clinic are as mentioned below.
NPI Number:
1568616548
NPI Enumeration Date:
04 Nov, 2008
NPI Last Update On:
12 Sep, 2018
Medical Licenses:
Organizations can have one or more medical licenses for different specialities in the same state or different states. Related medical licenses for Pediatric Dentistry Of Alaska are as mentioned below.
Specialization
License Number
State
Status
Dental
924
Alaska
Primary
Pediatric Dentistry
924
Alaska
Secondary
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
1583802
Medicaid
Alaska
1003811
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:
Pediatric Dentistry Of Alaska 3470 E Meridian Park Loop, Wasilla, Alaska
Zip:
99654
Phone Number:
907-373-8684
Fax Number:
907-373-8465
Patients can reach Pediatric Dentistry Of Alaska at 3470 E Meridian Park Loop, Wasilla, Alaska or can call to book an appointment on 907-373-8684. Data of this site is collected from Medicare & Medicaid Services (CMS) and NPPES. Last updated on 11 March, 2024.