Active NPI
M Paige DDS & JM Bressler DDS at Wasilla LLC
- General Practice Dentistry
- Wasilla, AK
National Provider Identifier
1104210129
On this page
Key facts
NPPES NPI Registry- Primary specialty
- General Practice Dentistry
- Legal business name
- M PAIGE DDS & JM BRESSLER DDS AT WASILLA LLC
- Practice address
- 701 E Parks Hwy Ste 209
Wasilla, AK 99654 - Phone
- (907) 376-3368
- Fax
- (907) 376-3364
- NPI assigned
- Mar 27, 2015
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Matthew Paige, DDS
- Title
- Owning Dentist
- Phone
- (907) 376-3368
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| General Practice Dentistry | 1223G0001X | AK | Primary |
Addresses
Primary practice location
701 E Parks Hwy Ste 209
Wasilla, AK 99654
Mailing address
701 E Parks Hwy Ste 209
Wasilla, AK 99654
Phone (907) 376-3368
National Provider Directory
National Provider DirectoryLocations
701 E Parks Hwy
Ste 209
Wasilla, AK 99654
Phone (253) 370-6653
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1427414400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1427414400000",
"number": "1104210129",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "701 E PARKS HWY STE 209",
"city": "WASILLA",
"state": "AK",
"postal_code": "99654",
"telephone_number": "907-376-3368",
"fax_number": "907-376-3364"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "701 E PARKS HWY STE 209",
"city": "WASILLA",
"state": "AK",
"postal_code": "99654",
"telephone_number": "907-376-3368",
"fax_number": "907-376-3364"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "M PAIGE DDS & JM BRESSLER DDS AT WASILLA LLC",
"organizational_subpart": "NO",
"enumeration_date": "2015-03-27",
"last_updated": "2015-03-27",
"status": "A",
"authorized_official_last_name": "PAIGE",
"authorized_official_first_name": "MATTHEW",
"authorized_official_title_or_position": "OWNING DENTIST",
"authorized_official_telephone_number": "907-376-3368",
"authorized_official_credential": "DDS"
},
"taxonomies": [
{
"code": "1223G0001X",
"taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
"desc": "Dentist, General Practice",
"state": "AK",
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Wasilla, AK
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 27, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.