Alaskan Family Dental Center LLC

Primary specialty

Dental Clinic/CenterTaxonomy code 261QD0000X

License

1072 Issued in AK

Legal business name

ALASKAN FAMILY DENTAL CENTER LLC

Practice address

281 N Main St Ste 201
Wasilla, AK 99654-7046

Phone

(907) 376-0452

Fax

(907) 376-0462

NPI assigned

May 17, 2018

Last updated

May 17, 2018By 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. Craig Hugh Mullett, DDSNPI 1235246430

Title

Owner

Phone

(907) 376-0452

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, and the practitioner matching its NPPES authorized official.

• Craig Mullett, DDS

  • Dentist
  • Wasilla, AK
  • NPI 1235246430
  NPD Authorized official

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

{
    "created_epoch": "1526515200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1526515200000",
    "number": "1891285433",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "281 N MAIN ST STE 201",
            "city": "WASILLA",
            "state": "AK",
            "postal_code": "996547046",
            "telephone_number": "907-376-0452",
            "fax_number": "907-376-0462"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "281 N MAIN ST STE 201",
            "city": "WASILLA",
            "state": "AK",
            "postal_code": "996547046",
            "telephone_number": "907-376-0452",
            "fax_number": "907-376-0462"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ALASKAN FAMILY DENTAL CENTER LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-05-17",
        "last_updated": "2018-05-17",
        "status": "A",
        "authorized_official_last_name": "MULLETT",
        "authorized_official_first_name": "CRAIG",
        "authorized_official_middle_name": "HUGH",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "907-376-0452",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "261QD0000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Dental",
            "state": "AK",
            "license": "1072",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Alaska Open Imaging Center LLC
• Alaska Pediatrics Associates PC
• Alaska Physician Services,LLC
• Alaska Premier Dental Group Wasilla, LLC
• Alaska Vein Care LLC
• Alaskan Natural Care, Inc.
• Kathryn Albert, PA-C
• Patrick R Albert, LCSW
• Rylie Alborn
• Bernadette Albrecht

• Dental Clinic/Center in Wasilla, AK
• Providers in Wasilla, 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 May 17, 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.