Individual
DR. KEVIN M. EASLEY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D.M.D.
Contact information
Practice address
330 E TUDOR RD, ANCHORAGE, AK 99503-7369
(907) 248-0022
(907) 206-3905
Mailing address
3031 LAKESIDE DR, ANCHORAGE, AK 99515-2202
(907) 248-0022
(907) 677-2552
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
920175036
AK
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
920175036
TAX ID
AK
Enumeration date
08/03/2006
Last updated
07/25/2025
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