Individual
DR. WARREN DAVID LIBBY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DDS, MS
Contact information
Practice address
1000 OMALLEY RD, SUITE 105, ANCHORAGE, AK 99515-3032
(907) 349-1951
(907) 349-5107
Mailing address
1000 OMALLEY RD, SUITE 105, ANCHORAGE, AK 99515-3032
(907) 349-1951
(907) 349-5107
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
1180
AK
1223X0400X
Orthodontics and Dentofacial Orthopedics Dentistry
Primary
1180
AK
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1003520
—
AK
01
—
1760650
UNITED CONCORDIA PROVIDER
AK
05
—
DD4125
—
AK
Enumeration date
05/10/2006
Last updated
10/25/2024
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