Organization
CHENA DENTAL CARE LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. BENJAMIN E HADFIELD DDS (OWNER)
(907) 488-0861
Entity
Organization
Contact information
Practice address
2933 HORSESHOE WAY, NORTH POLE, AK 99705-6139
(907) 488-0861
(907) 488-3141
Mailing address
2933 HORSESHOE WAY, NORTH POLE, AK 99705-6139
(907) 488-0861
(907) 488-3141
Taxonomy
Speciality
Code
Description
License number
State
261QD0000X
Dental Clinic/Center
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1174695803
—
AK
05
—
1811215601
—
UT
Enumeration date
11/11/2019
Last updated
11/11/2019
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