Individual
DR. DEREK N PRIEBE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DDS MDS
Contact information
Practice address
3401 DENALI ST, 203, ANCHORAGE, AK 99503-4034
(907) 563-2828
(907) 561-0374
Mailing address
3401 DENALI ST, 203, ANCHORAGE, AK 99503-4034
(907) 563-2828
(907) 561-0374
Taxonomy
Speciality
Code
Description
License number
State
1223X0400X
Orthodontics and Dentofacial Orthopedics Dentistry
Primary
1089.131
AK
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
DD1590
—
AK
Enumeration date
03/28/2007
Last updated
07/08/2007
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