Copper River Native Association
Organization Active NPI Dentist · Copper Center, AK
NPI 1306987532 · NPPES record last updated Apr 16, 2026
Key facts
- NPI
- 1306987532
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Dentist 122300000X
- License
- 36087 (AK)
- Legal business name
- COPPER RIVER NATIVE ASSOCIATION
- Practice address
- Mile 111.5 Richardson Hwy
Copper Center, AK 99573 - Phone
- (907) 822-5241
- Fax
- (907) 822-4045
- NPI assigned
- Feb 9, 2007
- Organization subpart
- No
Authorized official
- Name
- Nikki R Vosburg
- Title
- PFS Manager
- Phone
- (907) 822-8486
Corporate family (same tax ID) 7
National Provider Directory
- Tax ID family
- Copper River Native Assoc
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Dentist |
122300000X | 36087 | AK | Yes |
Addresses
Primary practice location
Mile 111.5 Richardson Hwy
Copper Center, AK 99573
Mailing address
PO Box 383
Glennallen, AK 99588-0383
Phone (907) 822-5241
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1578580 | Medicaid | AK |
Other names
- Wrangell Mountain Dental Clinic
Other providers in Copper Center, AK
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Apr 16, 2026. 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.