Organization
NORTHERN LIGHTS DENTAL ANESTHESIA, LLC
Active
Organization
NORTHERN LIGHTS DENTAL ANESTHESIA, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. KENLEY DANE MICHAUD DDS (CEO)
(907) 268-3109
Entity
Organization
Contact information
Practice address
1231 W NORTHERN LIGHTS BLVD, STE 623, ANCHORAGE, AK 99503-2337
(907) 268-3109
Mailing address
205 E DIMOND BLVD # 200, ANCHORAGE, AK 99515-1909
(907) 268-3109
Taxonomy
Speciality
Code
Description
License number
State
1223D0004X
Dental Anesthesiology
Primary
1547
AK
Other
Enumeration date
08/04/2014
Last updated
08/21/2024
Update your record
If you believe information in your NPPES record is inaccurate, or if you wish to update or deactivate your NPI, you can do so directly with CMS at https://nppes.cms.hhs.gov.
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Sign up