Individual
DR. CHARLES DANIEL NORTHCUTT
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
634 SECOND ST, JBER, AK 99505
(907) 348-2483
Mailing address
19254 ADAK CIR, EAGLE RIVER, AK 99577-8723
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
39040
TX
Other
Enumeration date
10/29/2021
Last updated
10/03/2025
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