Valley Pediatric Dentistry

Primary specialty

Pediatric DentistryTaxonomy code 1223P0221X

Legal business name

VALLEY PEDIATRIC DENTISTRY

Practice address

809 S Chugach St Ste 2
Palmer, AK 99645-6665

Phone

(907) 232-0355

NPI assigned

Dec 27, 2021

Organization subpart

No

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

Authorized official

Name

Doug Bowen

Title

Owner

Phone

(907) 232-0355

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.

• Douglas Yale Bowen, DMD, MPH

  • Pediatric Dentistry
  • Palmer, AK
  • NPI 1114446564
  NPD

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

{
    "created_epoch": "1640563200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1640563200000",
    "number": "1366102709",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "809 S CHUGACH ST STE 2",
            "city": "PALMER",
            "state": "AK",
            "postal_code": "996456665"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "809 S CHUGACH ST STE 2",
            "city": "PALMER",
            "state": "AK",
            "postal_code": "996456665",
            "telephone_number": "907-232-0355"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "VALLEY PEDIATRIC DENTISTRY",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-12-27",
        "last_updated": "2021-12-27",
        "certification_date": "2021-12-27",
        "status": "A",
        "authorized_official_last_name": "BOWEN",
        "authorized_official_first_name": "DOUG",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "907-232-0355"
    },
    "taxonomies": [
        {
            "code": "1223P0221X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, Pediatric Dentistry",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jill Valerius, MD
• Valley Allergy and Asthma Clinic, LLC
• Valley Kids Pediatric Speech-Language Therapy, LLC
• Valley Medical Center Inc
• Valley Neighborhood Dental Center
• Valley Radiation Oncology
• Valley Surgical Associates, Inc
• Lorri Ann Van Diest, LPC
• Trevor Van Oostrom, M.D.
• Kerry Dean Vance, M.D.

• All providers in Palmer, AK
• Pediatric Dentistry in Alaska

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 27, 2021; 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.