George Jedlicka DMD, PC

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

AK#1106 Issued in AK

Legal business name

GEORGE JEDLICKA DMD, PC

Practice address

44604 Sterling Hwy#D
Soldotna, AK 99669

Phone

(907) 260-4700

Fax

(907) 260-4004

NPI assigned

May 7, 2012

Organization subpart

No

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

Authorized official

Name

Dr. George A Jedlicka, DMD

Title

Dentist

Phone

(907) 260-4700

Specialties & licenses 1

Addresses

Other identifiers 1

Locations

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

{
    "created_epoch": "1336348800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1336348800000",
    "number": "1760741177",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "44604 STERLING HWY#D",
            "city": "SOLDOTNA",
            "state": "AK",
            "postal_code": "99669",
            "telephone_number": "907-260-4700",
            "fax_number": "907-260-4004"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "44604 STERLING HWY#D",
            "city": "SOLDOTNA",
            "state": "AK",
            "postal_code": "99669",
            "telephone_number": "907-260-4700",
            "fax_number": "907-260-4004"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GEORGE JEDLICKA DMD, PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-05-07",
        "last_updated": "2012-05-07",
        "status": "A",
        "authorized_official_last_name": "JEDLICKA",
        "authorized_official_first_name": "GEORGE",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "DENTIST",
        "authorized_official_telephone_number": "907-260-4700",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DMD"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, General Practice",
            "state": "AK",
            "license": "AK#1106",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "DD11061",
            "state": "AK"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Brittany Gardner, PT
• Samantha L Garner, APNP
• Amanda Christine Garrick, L.C.S.W.
• Richard Gehrer, CRT
• Rebecca L Geleide
• Laura Elizabeth Gerber, MPT
• Rene C Gervais
• Nancy Lynn Gill
• Marion E Glaser
• Laurel Glaves

• General Practice Dentistry in Soldotna, AK
• Providers in Soldotna, AK by specialty
• General Practice Dentistry in Alaska

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 7, 2012; 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.