Jamie R Corder

Individual provider Active NPI Dental Assistant · Kodiak, AK

NPI 1306984828 · NPPES record last updated Jul 8, 2007

Key facts

NPI
1306984828
Entity type
Individual (NPI type 1)
Primary specialty
Dental Assistant 126800000X
Practice address
Building N-46 Cape Sarichef
Kodiak, AK 99619-5002
Phone
(907) 487-5757
Fax
(907) 487-5360
NPI assigned
Feb 5, 2007
Sex
Female
Sole proprietor
No

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

Medicare participation

Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

Medicare enrollment (NPD)
No

Practice roles

OrganizationSpecialtyStatusNew patients
Integrated Support Command Kodiak Past Accepting new patients

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Dental Assistant 126800000X Yes

Addresses

Primary practice location

Building N-46 Cape Sarichef
Kodiak, AK 99619-5002

Mailing address

Building N-46 Cape Sarichef
Kodiak, AK 99619-5002
Phone (907) 487-5757

Other names

  • Mrs. Jamie R Hess Former name

Other providers in Kodiak, AK

All providers in Kodiak, AK · Dental Assistant in Alaska

Sources for this page

Verify at the official NPI Registry.