Uaa Dental Clinic

Primary specialty

Local Education Agency (LEA)Taxonomy code 251300000X

Legal business name

UAA DENTAL CLINIC

Practice address

3211 Providence Dr
Allied Health Science BLDG # 131
Anchorage, AK 99508-4614

Phone

(907) 786-1243

NPI assigned

Aug 7, 2015

Organization subpart

No

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

Authorized official

Name

Robin Wahto

Title

Director

Phone

(907) 786-6932

Specialties & licenses 1

Addresses

Tax ID family

Uaa Dental Clinic2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

• University of Alaska Fairbanks Center for Health & Counseling

  • Student Health Clinic/Center
  • Fairbanks, AK
  • NPI 1043358062
  NPD tax ID

Locations

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

{
    "created_epoch": "1438905600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1438905600000",
    "number": "1972989374",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3211 PROVIDENCE DR",
            "address_2": "ALLIED HEALTH SCIENCE BLDG # 131",
            "city": "ANCHORAGE",
            "state": "AK",
            "postal_code": "995084614",
            "telephone_number": "907-786-1243"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3211 PROVIDENCE DR",
            "address_2": "ALLIED HEALTH SCIENCE BLDG # 131",
            "city": "ANCHORAGE",
            "state": "AK",
            "postal_code": "995084614",
            "telephone_number": "907-786-1243"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "UAA DENTAL CLINIC",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-08-07",
        "last_updated": "2015-08-07",
        "status": "A",
        "authorized_official_last_name": "WAHTO",
        "authorized_official_first_name": "ROBIN",
        "authorized_official_title_or_position": "DIRECTOR",
        "authorized_official_telephone_number": "907-786-6932"
    },
    "taxonomies": [
        {
            "code": "251300000X",
            "taxonomy_group": "",
            "desc": "Local Education Agency (LEA)",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Sandra Anne Tzvetcoff, CRNA
• U-Care Services, LLC
• U.S. Healthworks Medical Group of Alaska, LLC
• U.S. Healthworks Medical Group of Alaska, LLC
• U.S. Healthworks Medical Group of Alaska, LLC
• Marylou Uahinui
• Uba Alh
• Matthew Sabo Ubedei, O.D.
• Franchesca Ubiera
• Patrick Ubom

• Local Education Agency (LEA) in Anchorage, AK
• Providers in Anchorage, AK by specialty
• Local Education Agency (LEA) in Alaska

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 7, 2015; 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.