Philip J Latteier DDS LLC

Primary specialty

Dental Clinic/CenterTaxonomy code 261QD0000X

License

128215 Issued in AK

Legal business name

PHILIP J LATTEIER DDS LLC

Doing business as

Alaska Dental Group

Practice address

3340 Providence Dr Ste 560
Anchorage, AK 99508-4643

Phone

(907) 562-6648

NPI assigned

Apr 3, 2018

Organization subpart

No

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

Authorized official

Name

Philip J Latteier, DDS

Title

Owner

Phone

(907) 562-6648

Specialties & licenses 1

Addresses

Other names 1

• Alaska Dental Group Doing business as

Locations

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

{
    "created_epoch": "1522713600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1522713600000",
    "number": "1508362161",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3340 PROVIDENCE DR STE 560",
            "city": "ANCHORAGE",
            "state": "AK",
            "postal_code": "995084643"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3340 PROVIDENCE DR STE 560",
            "city": "ANCHORAGE",
            "state": "AK",
            "postal_code": "995084643",
            "telephone_number": "907-562-6648"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PHILIP J LATTEIER DDS LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-04-03",
        "last_updated": "2018-04-03",
        "status": "A",
        "authorized_official_last_name": "LATTEIER",
        "authorized_official_first_name": "PHILIP",
        "authorized_official_middle_name": "J",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "907-562-6648",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "261QD0000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Dental",
            "state": "AK",
            "license": "128215",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Alaska Dental Group",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Katherine Phifer, LPC
• Rina Lee Philbrick
• Theresa E Philbrick, R.N.
• Janine Philemonoff, LMT
• Jaylene Philemonoff
• Philip J. Klump,DDS,LLC
• Phillip W Neuberger MD LLC
• Avia Laraybon Phillips-Lewis
• Claudia Ann Phillips, M.D.
• Danica Phillips

• Dental Clinic/Center in Anchorage, AK
• Providers in Anchorage, 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 3, 2018; 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.