Organization · Type 2 NPI

Southcentral Foundation

Oral and Maxillofacial Surgery (Dentist) · Anchorage, AK

NPI number 1609283670 Active

Practice location

4315 Diplomacy Dr
Anchorage, AK 99508-5926

Call (907) 317-6070 Map

Fax (907) 729-5178

Mailing address

PO Box 35151
Seattle, WA 98124-5198

Specialties and licenses

TaxonomyCodeLicense
Pediatric Dentistry 1223P0221XNone listed
Oral and Maxillofacial Surgery (Dentist) Primary 1223S0112XNone listed

Oral and Maxillofacial Surgery (Dentist): The specialty of dentistry which includes the diagnosis, surgical and adjunctive treatment of diseases, injuries and defects involving both the functional and esthetic aspects of the hard and soft tissues of the oral and maxillofacial region.

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About NPI 1609283670

Southcentral Foundation's National Provider Identifier is 1609283670, issued on Jul 22, 2014. The primary taxonomy on file is Oral and Maxillofacial Surgery (Dentist) (1223S0112X), and the practice location is in Anchorage, AK. The record was last updated on Jul 23, 2014.