Michael G. Crookston DDS PC

Primary specialty

Dental Clinic/CenterTaxonomy code 261QD0000X

Legal business name

MICHAEL G. CROOKSTON DDS PC

Practice address

104 S Binkley St Ste a
Soldotna, AK 99669-8038

Phone

(907) 262-8834

NPI assigned

Sep 7, 2017

Last updated

Apr 29, 2022By 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. Michael G Crookston, DDSNPI 1326136490

Title

Owner/President

Phone

(801) 389-4597

Specialties & licenses 1

Addresses

Locations

Practitioners 3

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.

• Michael G Crookston, DDS

  • General Practice Dentistry
  • Soldotna, AK
  • NPI 1326136490
  NPD Authorized official
• Tyler Kayle Longfellow, DMD

  • General Practice Dentistry
  • Soldotna, AK
  • NPI 1740952472
  NPD
• Thomas Russell Bird, D.D.S.

  • General Practice Dentistry
  • Eagle River, AK
  • NPI 1962579367
  NPD (past)

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

{
    "created_epoch": "1504742400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1651190400000",
    "number": "1417475716",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4168 N 3750 E",
            "city": "LIBERTY",
            "state": "UT",
            "postal_code": "843106816",
            "telephone_number": "801-389-4597"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "104 S BINKLEY ST STE A",
            "city": "SOLDOTNA",
            "state": "AK",
            "postal_code": "996698038",
            "telephone_number": "907-262-8834"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MICHAEL G. CROOKSTON DDS PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-09-07",
        "last_updated": "2022-04-29",
        "certification_date": "2022-04-29",
        "status": "A",
        "authorized_official_last_name": "CROOKSTON",
        "authorized_official_first_name": "MICHAEL",
        "authorized_official_middle_name": "G",
        "authorized_official_title_or_position": "OWNER/PRESIDENT",
        "authorized_official_telephone_number": "801-389-4597",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "261QD0000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Dental",
            "state": "AK",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Leon S Mensch, MD
• Michelle P Merriman
• Deborah Diane Merritt
• Patricia Mills Merwin, LCSW, MAC, CDC II
• Trena Micale-Glidewell
• Michelle's Care Coordination, LLC.
• Jacqueline Michels, RN
• Charles Chris Mickelson, M.D.
• Cynthia Sue Mildbrand, MD
• John Samuel Miley, DDS

• Dental Clinic/Center in Soldotna, AK
• Providers in Soldotna, AK by specialty
• Dental Clinic/Center in Alaska

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 29, 2022; 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.