Organization · Type 2 NPI
Southeast Alaska Regional Health Consortium
Dental Clinic/Center · Wrangell, AK
NPI number
1205372885
Active
Practice location
215 Front St
Wrangell, AK 99929
Fax (907) 874-3531
Mailing address
3100 Channel Drive Ste 300, Attn: Provider Enrollment
Juneau, AK 99801
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| General Practice Dentistry | 1223G0001X | None listed |
| Dental Clinic/Center Primary | 261QD0000X | None listed |
Dental Clinic/Center: Definition to come...
2 other providers at this address
About NPI 1205372885
Southeast Alaska Regional Health Consortium's National Provider Identifier is 1205372885, issued on Jan 6, 2017. The primary taxonomy on file is Dental Clinic/Center (261QD0000X), and the practice location is in Wrangell, AK. The record was last updated on Dec 29, 2020.