Alaska Dental Arts LLC

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

1308 Issued in AK

Legal business name

ALASKA DENTAL ARTS LLC

Practice address

110 E Swanson Ave
Wasilla, AK 99654-7024

Phone

(907) 376-5207

NPI assigned

Jan 8, 2013

Last updated

Jan 8, 2013By the provider in NPPES

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Terran Scheuffele

Title

Practice Manger

Phone

(907) 248-7275

Specialties & licenses 1

Addresses

Locations

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1357603200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1357603200000",
    "number": "1194062364",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "110 E SWANSON AVE",
            "city": "WASILLA",
            "state": "AK",
            "postal_code": "996547024",
            "telephone_number": "907-376-5207"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "110 E SWANSON AVE",
            "city": "WASILLA",
            "state": "AK",
            "postal_code": "996547024",
            "telephone_number": "907-376-5207"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ALASKA DENTAL ARTS LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-01-08",
        "last_updated": "2013-01-08",
        "status": "A",
        "authorized_official_last_name": "SCHEUFFELE",
        "authorized_official_first_name": "TERRAN",
        "authorized_official_title_or_position": "PRACTICE MANGER",
        "authorized_official_telephone_number": "907-248-7275"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "AK",
            "license": "1308",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Alaska Full Circle Counseling Solutions LLC
• Alaska Gi Associates LLC

• General Practice Dentistry in Wasilla, AK
• Providers in Wasilla, AK by specialty
• General Practice Dentistry in Alaska

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 8, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.