NORTH COAST DENTAL LLC (NPI# 1568024388) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1568024388 |
| Entity Type | Organization |
| Organization Name | NORTH COAST DENTAL LLC |
| Practice Address |
2020 Abbott Rd Ste 1 Anchorage AK 99507-4624 |
| Mailing Address |
Po Box 110713 Anchorage AK 99511-0713 |
| Practice Telephone | 9073442483 |
| Mailing Telephone | 9073514872 |
| Mailing Fax Number | 8006392434 |
| Enumeration Date | 2019-07-01 |
| Last Update Date | 2019-07-08 |
| Authorized Official Name | MRS. LACEY L MATTZELA (ACCOUNTS RECEIVABLE SPECIALIST) |
| Authorized Official Telephone | 9073514872 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 1223G0001X |
Dentist Specialization: General Practice |
Dental Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| AK | GENERAL DENTIST | 1570 | 01 |
| Street Address |
2020 ABBOTT RD STE 1 |
| City | ANCHORAGE |
| State | AK |
| Zip Code | 99507-4624 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1124634233 | Mackena Elsie Johnson | Massage Therapist | Sports & Spinal Injury Clinic, 6634 Lake Otis Pkwy #a, Anchorage, AK 99507 | 2020-09-23 |
| 1710599808 | Abracadabra Speech LLC | Speech-Language Pathologist | 6823 Tudor Road, Anchorage, AK 99507 | 2020-08-19 |
| 1487111241 | Fe Comon | Nursing Home Administrator | 1841 E 57th Ave., 1841 E 57th Ave., Anchorage, AK 99507 | 2019-02-27 |
| 1780171249 | Carol Won | Pharmacist | 2550 E. 88th Ave., Anchorage, AK 99507 | 2018-04-19 |
| 1821549411 | Isioma Nwaeme | Registered Nurse | 2529 Rives Court, Anchorage, AK 99507 | 2016-10-18 |
| 1669921268 | Michaelyn Scott | Massage Therapist | 1601 E. Dimond Blvd., Suite 201, Anchorage, AK 99507 | 2016-09-25 |
| 1013387638 | Robert R Croley | Case Manager/Care Coordinator | 1515 E Tudor Rd Ste 6, Anchorage, AK 99507 | 2015-09-25 |
| 1124494265 | Ryan Scott Fordt | Chiropractor | 2665 E Tudor Rd Ste 201, Anchorage, AK 99507 | 2015-08-12 |
| 1073907465 | Sarah E Lawrence | Case Manager/Care Coordinator | 1750 Abbott Road, Alzheimer's Resource of Alaska, Anchorage, AK 99507 | 2015-03-24 |
| 1699184507 | Melissa Lingad | Nurse's Aide | 7691 Winchester St., Anchorage, AK 99507 | 2014-08-05 |
| Find all providers in zip 99507 | ||||
| Taxonomy Code | 1223G0001X |
| Grouping | Dental Providers |
| Classification | Dentist |
| Specialization | General Practice |
| A general dentist is the primary dental care provider for patients of all ages. The general dentist is responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs. |
| Notes: Source: Academy of General Dentistry |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1215433768 | Ryan P. Ersland, D.m.d. LLC | Dentist | 2525 Gambell St Ste 304a, Anchorage, AK 99503-2838 | 2018-04-03 |
| 1699289645 | Jae Won Lee | Dentist | 726 E. 9th Avenue, Anchorage, AK 99501 | 2017-11-29 |
| 1295271492 | Maurice J Welch Dds A Professional Corporation | Dentist | 4450 Cordova St Ste 210, Anchorage, AK 99503-7273 | 2017-01-11 |
| 1811355456 | Geon Bae | Dentist | 3340 Providence Dr Ste 552, Anchorage, AK 99508 | 2016-02-09 |
| 1326421850 | Hyrum Murdoch | Dentist | 4200 Lake Otis Pkwy Ste 201, Anchorage, AK 99508-5226 | 2015-07-01 |
| 1043603194 | Keith D. Mcgranahan | Dentist | 1407 W 31st St., Anchorage, AK 99503 | 2015-03-13 |
| 1376941260 | Joshua Michael Kennedy | Dentist | 625 E 34th Ave Ste 301, Anchorage, AK 99503-4154 | 2014-12-09 |
| 1649609439 | Smiles Dental Alaska, LLC | Dentist | 9138 Arlon St Ste B, Anchorage, AK 99507-3876 | 2013-11-02 |
| 1790027134 | Healthy Smiles Forever, LLC | Dentist | 5576 Sapphire Loop, Anchorage, AK 99504-6000 | 2013-03-25 |
| 1346599032 | William Rutan Sedwick | Dentist | 3900 Arctic Blvd. Ste 103, Anchorage, AK 99503-5780 | 2012-09-10 |
| Find all providers in ANCHORAGE | ||||
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| 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.