Dental Yellow Pages

Dental Yellow Pages

Dentists, Dental Clinics and Practices
Oral Surgery, Dental Specialists

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SOUTHCENTRAL FOUNDATION

Prosthodontics

Anchorage, Alaska

Provider NPI: 1316527575

Organization Information:
Organization Name:  SOUTHCENTRAL FOUNDATION
Organization is Subpart
Authorized Official:  KATHRYN SUZANNE MILLER  PATIENT ACCOUNTS MANAGER  907-3176070

Practice Location:
4341 TUDOR CENTRE DR. FIREWEED DENTAL ANCHORAGE, AK 99508 US
Tel: 907-317-6070  Fax: 817-977-4688

Business Mailing Address:
PO BOX 35151  SEATTLE, WA 98124 US
Tel: 907-317-6070  Fax: 817-977-4688

Entity Type: Organization

Taxonomy:

PrimaryCodeCategory/DescriptionStateLicense Number
N1223P0700XDental Providers
Dentist
Prosthodontics
Y1223G0001XDental Providers
Dentist

Other Provider Identifiers:

IssuerNumberStateType
1003875AK05
Code values:
01, Other | 02, Medicare Upin | 04, Medicare Id-Type Unspecified
05, Medicaid | 06, Medicare Oscar/Certification | 07, Medicare NSC | 08, Medicare Pin



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