Aurora Dental Center, Inc.

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

464 Issued in AK

Legal business name

AURORA DENTAL CENTER, INC.

Doing business as

Aurora Dental Care

Practice address

4501 East Snider Drive
Wasilla, AK 99654-7604

Phone

(907) 376-8400

Fax

(907) 376-8402

NPI assigned

Nov 17, 2006

Last updated

Aug 22, 2020By 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

Patsy Lea May

Title

Manager

Phone

(907) 376-8400

Specialties & licenses 2

Addresses

Other names 1

• Aurora Dental Care Doing business as

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

{
    "created_epoch": "1163721600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1902970601",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4501 SNIDER DR",
            "city": "WASILLA",
            "state": "AK",
            "postal_code": "996547604",
            "telephone_number": "907-376-8400",
            "fax_number": "907-376-8402"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4501 EAST SNIDER DRIVE",
            "city": "WASILLA",
            "state": "AK",
            "postal_code": "996547604",
            "telephone_number": "907-376-8400",
            "fax_number": "907-376-8402"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "AURORA DENTAL CENTER, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-11-17",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "MAY",
        "authorized_official_first_name": "PATSY",
        "authorized_official_middle_name": "LEA",
        "authorized_official_title_or_position": "MANAGER",
        "authorized_official_telephone_number": "907-376-8400"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "AK",
            "license": "845",
            "primary": false
        },
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "AK",
            "license": "464",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Aurora Dental Care",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Helen Aumavae
• Aurora Assisted Living LLC
• Aurora Borealis Home Health LLC
• Aurora Borealis Hospice LLC
• Aurora Dental Care
• Aurora Dental Clinic, LLC (Aurora Dental Care)
• Aurora Womens Healthcare, LLC
• Olena Avelar
• Margaret Elizabeth Awadalla, PA-C
• Tyler Yukio Bachtel, DPT, PT

• General Practice Dentistry in Wasilla, AK
• Providers in Wasilla, 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 Aug 22, 2020; 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.