Individual
PHILLIP NEIL PRIEBE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D.D.S.
Contact information
Practice address
2601 BONIFACE PARKWAY, ANCHORAGE, AK 99504
(907) 337-9593
(907) 337-9596
Mailing address
2601 BONIFACE PARKWAY, ANCHORAGE, AK 99504
(907) 337-9593
(907) 337-9596
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
AK 314
AK
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
DD0314
—
AK
Enumeration date
10/03/2006
Last updated
07/09/2007
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