Individual
MRS. ANITA PREWITT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
R.D.H.
Contact information
Practice address
1060 GAFFNEY RD, FORT WAINWRIGHT, AK 99703-5002
(907) 353-5530
Mailing address
904 LES ROGERS TURNAROUND, NORTH POLE, AK 99705-7635
(907) 488-4392
Taxonomy
Speciality
Code
Description
License number
State
124Q00000X
Dental Hygienist
Primary
712
AK
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
540
LOCAL ANETHSTETIC AGENTS
AK
Enumeration date
06/23/2006
Last updated
07/08/2007
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