Gregory Henry Dostal, MD
Individual provider Active NPI Plastic Surgery Physician · Juneau, AK
NPI 1821114448 · NPPES record last updated Nov 29, 2007
Key facts
- NPI
- 1821114448
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Plastic Surgery Physician 208200000X
- License
- 3434 (AK)
- Practice address
- 3225 Hospital Dr
#102
Juneau, AK 99801 - Phone
- (907) 586-3068
- Fax
- (907) 586-3078
- NPI assigned
- Mar 22, 2007
- Sex
- Male
- Sole proprietor
- No
Organizations & group practices 1
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 3434 | AK | MD | Plastic Surgery Within the Head and Neck (Plastic Surgery) Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Salmon Creek Surgery | Past | Accepting new patients |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Plastic Surgery Physician | 208200000X | 3434 | AK | Yes |
| Plastic Surgery Within the Head and Neck (Plastic Surgery) Physician | 2082S0099X | 3434 | AK | |
| Surgery of the Hand (Plastic Surgery) Physician | 2082S0105X | 3434 | AK |
Addresses
Primary practice location
3225 Hospital Dr
#102
Juneau, AK 99801
Mailing address
3225 Hospital Dr
#102
Juneau, AK 99801
Phone (907) 586-3068
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| MD15801 | Medicaid | AK |
Other providers in Juneau, AK
- Division of Pioneer Homes
- Beth Dobson
- Matthew Kenneth Dobson
- Justin Dorn
- Amber Nicole Dorrough
- Kimberly Park Dostal
- Douglas S Weaver DDS Apc
- Christine Doyon
- Dr. Swinton LLC
- Amy Elizabeth Dressel
All providers in Juneau, AK · Plastic Surgery Physician in Alaska
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Nov 29, 2007. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.