'Gentle Dentistry' Jennifer Spivey DDS
Organization Active NPI General Practice Dentistry · Kodiak, AK
NPI 1306273446 · NPPES record last updated Oct 3, 2013
Key facts
- NPI
- 1306273446
- Entity type
- Organization (NPI type 2)
- Primary specialty
- General Practice Dentistry 1223G0001X
- License
- 9221 (AK)
- Legal business name
- 'GENTLE DENTISTRY' JENNIFER SPIVEY DDS
- Practice address
- 204 Rezanof Dr E
Suite #201
Kodiak, AK 99615-6379 - Phone
- (907) 481-3567
- Fax
- (907) 481-3564
- NPI assigned
- Oct 3, 2013
- Organization subpart
- No
Authorized official
- Name
- Mrs. Sinia Lokelani Maile
- Title
- Office Manager
- Phone
- (907) 481-3567
Practitioners 1
-
Ambika Rani Srivastava, DMD, MPH
National Provider Directory
Locations
204 E Rezanof Dr
Ste 201
Kodiak, AK 99615
Phone (907) 481-3567
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| General Practice Dentistry |
1223G0001X | 9221 | AK | Yes |
Addresses
Primary practice location
204 Rezanof Dr E
Suite #201
Kodiak, AK 99615-6379
Mailing address
204 East Rezanof Dr.
Ste. # 201
Kodiak, AK 99615
Phone (907) 481-3567
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| DD09221 | Medicaid | AK |
Other names
- JENNIFER SPIVEY DDS PC
Other providers in Kodiak, AK
- A Kodiak Welcome Bed and Breakfast
- Patricia Abell
- Andrea Abena
- Erica Haley Aberle
- Benito Artillero Achas
All providers in Kodiak, AK · General Practice Dentistry in Alaska
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Oct 3, 2013. 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.