Organization
ALASKA DENTAL CARE, LLC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. BRETT MICHAEL GARDINER D.D.S. (OWNER/DENTIST)
(907) 561-3639
Entity
Organization
Contact information
Practice address
4000 OLD SEWARD HWY, SUITE #100, ANCHORAGE, AK 99503
(907) 561-3639
(907) 562-5337
Mailing address
4000 OLD SEWARD HWY, SUITE #100, ANCHORAGE, AK 99503
(907) 561-3639
(907) 562-5337
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
1274
AK
1223G0001X
General Practice Dentistry
253
AK
1223G0001X
General Practice Dentistry
Primary
875
AK
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
DD08755
—
AK
Enumeration date
02/22/2012
Last updated
02/22/2012
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