Individual
MR. ROBERT MOREHEAD
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.M.D.
Contact information
Practice address
2600 CORDOVA ST STE 200, ANCHORAGE, AK 99503-2745
(907) 276-1712
(907) 258-4482
Mailing address
2600 CORDOVA ST STE 200, ANCHORAGE, AK 99503-2745
(907) 276-1712
(907) 258-4482
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
979
AK
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
01611666
UNITED CONCORDIA ID #
AK
05
—
DD0979
—
AK
Enumeration date
08/31/2006
Last updated
07/09/2007
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