# ORAL SURGERY ASSOCIATES OF ALASKA

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1346254851
- **Authorized official:** DR. WILLIAM RANDY DEETER DDS (PRESIDENT)
- **Authorized official phone:** (907) 561-1430

## Contact information

- **Practice address:** 111 W 16TH AVE, SUITE 203, ANCHORAGE, AK 99501-6206
- **Practice address phone:** (907) 561-1430
- **Practice address fax:** (907) 561-2697
- **Mailing address:** 111 W 16TH AVE, SUITE 203, ANCHORAGE, AK 99501-6206
- **Mailing address phone:** (907) 561-1430
- **Mailing address fax:** (907) 561-2697

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 1223S0112X | Oral and Maxillofacial Surgery (Dentist) | 18698 | AK | Yes |

## Other

- **Enumeration date:** 07/28/2006
- **Last updated:** 04/10/2008