Organization
DR. ELDON DEKAY, P.C.
Active
Other names
Eagle River Orthodontics
Organization subpart
No
Provider details
NPI number
Authorized official
DR. ELDON LEE DEKAY DMD, MS (PRESIDENT)
(907) 694-3555
Entity
Organization
Contact information
Practice address
16635 CENTERFIELD DR, SUITE 201, EAGLE RIVER, AK 99577-7719
(907) 694-3555
(907) 694-3320
Mailing address
16635 CENTERFIELD DR, SUITE 201, EAGLE RIVER, AK 99577-7719
(907) 694-3555
(907) 694-3320
Taxonomy
Speciality
Code
Description
License number
State
1223X0400X
Orthodontics and Dentofacial Orthopedics Dentistry
Primary
915
AK
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
DD09151
—
AK
Enumeration date
02/07/2007
Last updated
02/18/2008
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