Aesthetic Dental Group LLC
Organization Active NPI Dental Clinic/Center · Wasilla, AK
NPI 1003539008 · NPPES record last updated Sep 30, 2022
Key facts
- NPI
- 1003539008
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Dental Clinic/Center 261QD0000X
- Legal business name
- AESTHETIC DENTAL GROUP LLC
- Practice address
- 1551 W Parks Hwy
Wasilla, AK 99654-6933 - Phone
- (907) 357-6684
- NPI assigned
- Sep 23, 2022
- Organization subpart
- No
Authorized official
- Name
- Amanda Harrison
- Title
- Office Manager
- Phone
- (907) 229-2228
Practitioners 2
-
Jacob Tant Stinson, DDS
-
Drue Pickens, D.D.S.
National Provider Directory
Locations
1550 W Nicola Ave
Wasilla, AK 99654
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Dental Clinic/Center | 261QD0000X | Yes |
Addresses
Primary practice location
1551 W Parks Hwy
Wasilla, AK 99654-6933
Mailing address
10928 Eagle River Rd
Eagle River, AK 99577-8078
Phone (907) 622-3000
Other names
- Aesthetic Family Dentistry
Other providers in Wasilla, AK
- Advanced Family Dentistry
- Advanced Neuro Solutions
- Advanced Wellness Infusion Center, LLC
- Adventures in Pediatrics, LLC
- Kameah Dawn Aebischerlike
- Aesthetic Family Dentistry
- Taelyr Aga
- Amanda Sue Aguilar
- Ann Aitken
- Ak Empower Medical and Wellness LLC
All providers in Wasilla, AK · Dental Clinic/Center in Alaska
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Sep 30, 2022. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.