Organization
THAYNE DAWSON DMD LLC
Active
Other names
Northwind Dental
Organization subpart
No
Provider details
NPI number
Authorized official
DR. THAYNE JORAY DAWSON DMD (OWNER)
(907) 707-9421
Entity
Organization
Contact information
Practice address
3719 E MERIDIAN LOOP STE B, WASILLA, AK 99654-7273
(907) 373-2440
(907) 373-1920
Mailing address
6110 N TALGACH VIEW DR, WASILLA, AK 99654-9044
(208) 351-6538
(907) 373-1920
Taxonomy
Speciality
Code
Description
License number
State
261QD0000X
Dental Clinic/Center
Primary
—
—
Other
Enumeration date
09/08/2020
Last updated
07/31/2023
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