THE DELTA DENTIST, PC (NPI# 1053712588) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1053712588 |
| Entity Type | Organization |
| Organization Name | THE DELTA DENTIST, PC |
| Practice Address |
266 Richardson Hwy Delta Junction AK 99737-9800 |
| Mailing Address |
Po Box 1269 Delta Junction AK 99737-1269 |
| Practice Telephone | 9078952200 |
| Mailing Telephone | 9078952200 |
| Enumeration Date | 2014-09-16 |
| Last Update Date | 2016-07-04 |
| Authorized Official Name | DR. BRADLEY OLIVER (OWNER) |
| Authorized Official Telephone | 9078952200 |
| Authorized Official Credential | DMD |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QD0000X |
Clinic/Center Specialization: Dental |
815 | AK | Ambulatory Health Care Facilities |
| Street Address |
266 RICHARDSON HWY |
| City | DELTA JUNCTION |
| State | AK |
| Zip Code | 99737-9800 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1558969766 | Amber Rand | Registered Nurse | 2857 Alaska Hwy Rm 210, Delta Junction, AK 99737 | 2020-10-12 |
| 1225673148 | Andrea M Barnard | Recreation Therapist | 266.5 Richardson Hwy., Delta Junction, AK 99737 | 2019-11-14 |
| 1861861064 | Laurie Litzenberger | Counselor | 266.5 Richardson Hwy, Delta Junction, AK 99737 | 2015-09-17 |
| 1700279916 | Marisa Hopper | Registered Nurse | 2857 Alaska Hwy, Room 210, Delta Junction, AK 99737 | 2015-03-12 |
| 1922436781 | Charles Miller | Community Health Worker | Charles St., Dot Lake, AK 99737 | 2013-10-14 |
| 1588939193 | Arctic Chiropractic Delta | Chiropractor | 1755 Richardson Hwy, Delta Junction, AK 99737 | 2012-03-14 |
| 1609147537 | Jeffrey Deeter | Community Health Worker | # 8 Charles St., Dot Lake, AK 99737 | 2012-01-24 |
| 1396026944 | Delta Medical Transport LLC | Ambulance | 4200 Lang Dr, Delta Junction, AK 99737 | 2011-09-08 |
| 1134420250 | Josephine Kay Barry | Counselor | Mile 266 1/2 Richardson Hwy, Delta Junction, AK 99737 | 2010-11-05 |
| 1558687061 | Whitestone Enterprises | Midwife | Mile 275 Richardson Highway, Delta Junction, AK 99737 | 2010-04-09 |
| Find all providers in zip 99737 | ||||
| Taxonomy Code | 261QD0000X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Dental |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1962011593 | Deyoung Dentistry, LLC | Clinic/Center | 2601 Boniface Parkway Suite 1, Anchorage, AK 99504 | 2020-07-29 |
| 1205461084 | Hawkinson Dental Inc | Clinic/Center | 6200 Lake Otis Pkwy Ste 101, Anchorage, AK 99507-2098 | 2020-03-11 |
| 1982238622 | Donald R Mclean | Clinic/Center | 3719 E Meridian Loop Ste B, Wasilla, AK 99654-7273 | 2020-03-02 |
| 1740745439 | Susan Olson Dmd Inc | Clinic/Center | 3261 S. Big Lake Rd. Ste D3-d4, Big Lake, AK 99652 | 2019-02-06 |
| 1932664877 | Alaska Family Dental LLC | Clinic/Center | 405 W 36th Ave Ste 101, Anchorage, AK 99503-5872 | 2019-02-05 |
| 1174016737 | Lake Road Dental LLC | Clinic/Center | 4622 Shannon Lake Rd, Dillingham, AK 99576 | 2018-06-08 |
| 1659862134 | Evelyn Haley Dmd | Clinic/Center | 615 E 82nd Ave Ste 100, Anchorage, AK 99518-3100 | 2018-05-21 |
| 1891285433 | Alaskan Family Dental Center LLC | Clinic/Center | 281 N Main St Ste 201, Wasilla, AK 99654-7046 | 2018-05-17 |
| 1376051797 | Caroline Curtis Dmd PC | Clinic/Center | 16635 Centerfield Dr Ste 207, Eagle River, AK 99577-7746 | 2018-01-19 |
| 1417475716 | Michael G. Crookston Dds PC | Clinic/Center | 11723 Old Glenn Hwy Ste 207, Eagle River, AK 99577-7750 | 2017-09-07 |
| Find all providers with the same taxonomy | ||||
| City | DELTA JUNCTION |
| Zip Code | 99737 |
Please comment or provide details below to improve the information on THE DELTA DENTIST, PC.
| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.