Organization
ALASKA DENTAL GROUP P.C.
Active
Other names
Mark J McLean DMD MS PC
Organization subpart
No
Provider details
NPI number
Authorized official
DR. MARK JAMES MCLEAN D.M.D. (OWNER)
(907) 562-6648
Entity
Organization
Contact information
Practice address
3340 PROVIDENCE DR STE 560, PROVIDENCE MEDICAL OFFICE BLDG., ANCHORAGE, AK 99508-4643
(907) 562-6648
(907) 561-8385
Mailing address
3340 PROVIDENCE DR STE 560, PROVIDENCE MEDICAL OFFICE BLDG., ANCHORAGE, AK 99508-4643
(907) 562-6648
(907) 561-8385
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
436733
AK
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
826322
UNITED CONCORDIA
AK
05
—
DD0888
—
AK
Enumeration date
01/11/2007
Last updated
08/22/2020
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