Juneau Pediatric Dentistry

Primary specialty

Pediatric DentistryTaxonomy code 1223P0221X

License

104062 Issued in AK

Legal business name

JUNEAU PEDIATRIC DENTISTRY

Practice address

9309 Glacier Highway, Ste B103
Juneau, AK 99801

Phone

(907) 523-5437

NPI assigned

Sep 20, 2015

Last updated

Feb 24, 2023By 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

Dr. Jessica Blanco, DMDNPI 1578995411

Title

President/Doctor

Phone

(907) 523-5437

Specialties & licenses 1

Addresses

Locations

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.

• Jessica Blanco, DMD

  • Pediatric Dentistry
  • Juneau, AK
  • NPI 1578995411
  NPD Authorized official

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

{
    "created_epoch": "1442707200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1677196800000",
    "number": "1336518349",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9309 GLACIER HIGHWAY, STE B103",
            "city": "JUNEAU",
            "state": "AK",
            "postal_code": "99801",
            "telephone_number": "907-523-5437"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9309 GLACIER HIGHWAY, STE B103",
            "city": "JUNEAU",
            "state": "AK",
            "postal_code": "99801",
            "telephone_number": "907-523-5437"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JUNEAU PEDIATRIC DENTISTRY",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-09-20",
        "last_updated": "2023-02-24",
        "certification_date": "2023-02-24",
        "status": "A",
        "authorized_official_last_name": "BLANCO",
        "authorized_official_first_name": "JESSICA",
        "authorized_official_title_or_position": "PRESIDENT/DOCTOR",
        "authorized_official_telephone_number": "907-523-5437",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DMD"
    },
    "taxonomies": [
        {
            "code": "1223P0221X",
            "taxonomy_group": "",
            "desc": "Dentist, Pediatric Dentistry",
            "state": "AK",
            "license": "104062",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Juneau Foot & Ankle Center
• Juneau Mobile Therapy LLC (Juneau Mobile Therapy)
• Juneau Music Therapy LLC
• Juneau Obstetrics and Gynecology, P.C.
• Juneau Obstetrics and Gynecology, P.C.
• Juneau Pharmacy Inc (Juneau Drug Company)
• Juneau Physical Therapy
• Juneau Quick Care
• Juneau School District
• Juneau Sleep Diagnostics Center LLC

• Pediatric Dentistry in Juneau, AK
• Providers in Juneau, AK by specialty
• Pediatric Dentistry in Alaska

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 24, 2023; 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.