Organization Active NPI

General Family Dentistry, Inc.

  • General Practice Dentistry
  • Palmer, AK
National Provider Identifier
1245456755
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
825 Issued in AK
Legal business name
GENERAL FAMILY DENTISTRY, INC.
Practice address
557 S Alaska St
Palmer, AK 99645-6341
Phone
(907) 745-3600
Fax
(907) 745-3612
NPI assigned
Apr 17, 2007
Last updated
Aug 22, 2020By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Monte L Burtch, D.D.S.NPI 1265658769
Title
President
Phone
(907) 745-3600

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice DentistryGroup: 193400000X SINGLE SPECIALTY GROUP 1223G0001X 825 AK Primary

Addresses

Primary practice location

557 S Alaska St
Palmer, AK 99645-6341

Mailing address

557 S Alaska St
Palmer, AK 99645-6341
Phone (907) 745-3600

National Provider Directory

National Provider Directory

Locations

557 S Alaska St
Palmer, AK 99645
Phone (907) 745-3600

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1176768000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1245456755",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "557 S ALASKA ST",
            "city": "PALMER",
            "state": "AK",
            "postal_code": "996456341",
            "telephone_number": "907-745-3600",
            "fax_number": "907-745-3612"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "557 S ALASKA ST",
            "city": "PALMER",
            "state": "AK",
            "postal_code": "996456341",
            "telephone_number": "907-745-3600",
            "fax_number": "907-745-3612"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GENERAL FAMILY DENTISTRY, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-04-17",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "BURTCH",
        "authorized_official_first_name": "MONTE",
        "authorized_official_middle_name": "L",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "907-745-3600",
        "authorized_official_credential": "D.D.S."
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, General Practice",
            "state": "AK",
            "license": "825",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Palmer, AK

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.