Organization
COPPER RIVER NATIVE ASSOCIATION
Active
Other names
Wrangell Mountain Dental Clinic
Organization subpart
No
Provider details
NPI number
Authorized official
NIKKI R VOSBURG (PFS MANAGER)
(907) 822-8486
Entity
Organization
Contact information
Practice address
MILE 111.5 RICHARDSON HWY, COPPER CENTER, AK 99573
(907) 822-5241
(907) 822-4045
Mailing address
PO BOX 383, GLENNALLEN, AK 99588-0383
(907) 822-5241
(907) 822-4045
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
36087
AK
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1578580
—
AK
05
—
DD1001
—
AL
Enumeration date
02/09/2007
Last updated
04/16/2026
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