Organization
PEDIATRIC DENTISTRY OF ALASKA
Active
Other names
Pediatric Dentistry of Alaska
Organization subpart
No
Provider details
NPI number
Authorized official
ROGER DUANE BECK DDA (OWNER/PRESIDENT)
(907) 373-8684
Entity
Organization
Contact information
Practice address
3470 E MERIDIAN PARK LOOP, WASILLA, AK 99654
(907) 373-8684
(907) 373-8465
Mailing address
3470 E MERIDIAN PARK LOOP, WASILLA, AK 99654
(907) 373-8684
(907) 373-8465
Taxonomy
Speciality
Code
Description
License number
State
1223P0221X
Pediatric Dentistry
924
AK
261QD0000X
Dental Clinic/Center
Primary
924
AK
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1003811
—
AK
05
—
1583802
—
AK
Enumeration date
11/04/2008
Last updated
09/12/2018
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Contact us