Individual
DR. DAVID HUMPHREY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
700 CHIEF EDDIE HOFFMAN, BETHEL, AK 99559
(907) 543-6000
Mailing address
700 CHIEF EDDIE HOFFMAN HWY, BETHEL, AK 99559
(907) 543-6000
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
123621
AK
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
123621
—
AK
Enumeration date
08/09/2017
Last updated
08/09/2017
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