Individual
JAMES V PENFIELD
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
12641 OLD GLENN HWY SUITE 101, EAGLE RIVER, AK 99577
(907) 688-7874
(907) 688-7876
Mailing address
PO BOX 672514, CHUGIAK, AK 99567-2514
(907) 688-7874
(907) 622-7876
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
1137
AK
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
DD5399
—
AK
Enumeration date
05/31/2007
Last updated
09/05/2007
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