Organization · Type 2 NPI

Kodiak Area Native Association

Dental Clinic/Center · Kodiak, AK

NPI number 1093213167 Active

Practice location

1317 Mill Bay Rd
Kodiak, AK 99615-6411

Call (907) 486-3291 Map

Fax (907) 486-9896

Mailing address

3449 E Rezanof Dr
Kodiak, AK 99615-6952

Specialties and licenses

Taxonomy	Code	License
Dental Clinic/Center Primary	261QD0000X	None listed

Dental Clinic/Center: Definition to come...

2 other providers at this address

Other dental clinic/center providers in Kodiak

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NPI record

NPI: 1093213167
Entity type: Organization (Type 2)
Issued: Jan 24, 2018
Last updated: Jan 24, 2018
Status: Active
Subpart: Yes of Kodiak Area Native Association

Other names

<unavail>
Family Dentistry of Kodiak · other name

Authorized official

Michael Pfeffer
Chief Operating Officer
(907) 486-9800

Verify this record

This page mirrors the public NPPES file. For credentialing or billing, confirm it on the official CMS NPI Registry, and check the license with the state board.

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About NPI 1093213167

Kodiak Area Native Association's National Provider Identifier is 1093213167, issued on Jan 24, 2018. The primary taxonomy on file is Dental Clinic/Center (261QD0000X), and the practice location is in Kodiak, AK. The record was last updated on Jan 24, 2018.