Organization
NORTH COAST FAMILY DENTISTRY
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. SUSAN ANN SERGIE DMD (DENTIST)
(907) 344-2483
Entity
Organization
Contact information
Practice address
2020 ABBOTT RD STE 1, ANCHORAGE, AK 99507-4624
(907) 344-2483
Mailing address
2020 ABBOTT RD STE 1, ANCHORAGE, AK 99507
(907) 344-2483
(907) 349-2489
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
—
—
1223P0221X
Pediatric Dentistry
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1500
DENTIST
AK
05
—
1584714
—
AK
Enumeration date
07/01/2019
Last updated
03/10/2023
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