Dr. Derick Jack Sovereign is a Wasilla, Alaska based Dentist who is specialized in Dentistry. He does not accept the Medicare-approved amount. Patients will be billed for the treatment. Active license number of Dr. Derick Jack Sovereign is 224623 for Dentistry in Alaska. His current practice location is 3765 E Blue Lupine Dr Ste A, Wasilla. Patients can reach him at 480-341-0791.
Dr. Derick Jack Sovereign is the primary dental care provider for patients of all ages. He is responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs.
Complete Profile:
Dr. Derick Jack Sovereign speciality, credentials, practice address, contact phone number and fax are as below.
Patients can directly walk in or can call on the below given phone number for appointment.
Name:
Dr. Derick Jack Sovereign
Specialization:
Dentist
Gender:
Male
Credentials:
DMD
Accepts Medicare Assignment:
No
Practice Address:
3765 E Blue Lupine Dr Ste A, Wasilla, Alaska, 99654-8417
Phone:
480-341-0791
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 are as mentioned below.
NPI Number:
1245073287
NPI Enumeration Date:
17 Jun, 2024
NPI Last Update On:
17 Jun, 2024
Medical Licenses:
Doctors can have one or more medical licenses for different specialities in the same state or different states. Related medical licenses for Dr. Derick Jack Sovereign are as mentioned below.
License Number
Specialization
State
Status
224623
Dentistry
Alaska
Primary
Business Mailing Address:
Business mailing address can be used for mailing purpose only, for visiting purpose patients need to refer above mentioned address.
Address:
3765 E Blue Lupine Dr Ste A, Wasilla, Alaska
Zip:
99654-8417
Phone Number:
480-341-0791
Patients can reach Dr. Derick Jack Sovereign at 3765 E Blue Lupine Dr Ste A, Wasilla, Alaska or can call to book an appointment on 480-341-0791. Data of this site is collected from Medicare & Medicaid Services (CMS) and NPPES. Last updated on 09 December, 2024.