DOUGLAS J LUITEN


Address: 4001 Laurel St, Suite 208, Anchorage, AK 99508-5332
Phone: 9075610675

DOUGLAS J LUITEN (NPI# 1952521346) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1952521346
Entity Type Individual
Full Name DOUGLAS J LUITEN
Credential D.M.D.
Practice Address 4001 Laurel St
Suite 208
Anchorage
AK 99508-5332
Practice Telephone 9075610675
Practice Fax Number 9075621563
Mailing Telephone 9075610675
Mailing Fax Number 9075621563
Enumeration Date 2007-04-26
Last Update Date 2007-07-08
Gender Code M
Is Sole Proprietor Y

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 1223E0200X Dentist
Specialization: Endodontics
710 AK Dental Providers

Other Provider Identifier

State Issuer Identifier Type Code
AK UNITED CONCORDIA 832836 01

Office Location

Street Address 4001 LAUREL ST
SUITE 208
City ANCHORAGE
State AK
Zip Code 99508-5332

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NPI Name Taxonomy Address Enumeration
1487643169 Jann Lee Urban Anesthesiology 4001 Laurel St, Suite 202, Anchorage, AK 99508-5300 2005-10-17
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1861809311 Alaskan Legacy Podiatric Foot & Ankle Specialist LLC Podiatrist 4001 Laurel St, Suite 209, Anchorage, AK 99508-5300 2014-07-16
1437407277 Alyeska Vascular Surgery LLC Surgery 4001 Laurel St, Ste 204, Anchorage, AK 99508 2012-08-28
1265795983 Urban Anesthesiology, P.c Anesthesiology 4001 Laurel St, Suite 202, Anchorage, AK 99508-5300 2012-06-18
1255604948 New Frontier Anesthesia, LLC Anesthesiology 4001 Laurel St, Suite A, Anchorage, AK 99508-5300 2012-02-11
1801043013 Zachary John Steiner Surgery 4001 Laurel St, Ste 204, Anchorage, AK 99508-5300 2008-08-19
1861674285 David D Beal Md PC Otolaryngology 4001 Laurel St, Ste 204, Anchorage, AK 99508-5300 2007-11-27
1508958521 Lawrence Jedlicka Internal Medicine 4001 Laurel St, Anchorage, AK 99508-5300 2006-09-28
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Taxonomy Information

Taxonomy Code 1223E0200X
Grouping Dental Providers
Classification Dentist
Specialization Endodontics

Taxonomy Definition

The branch of dentistry that is concerned with the morphology, physiology and pathology of the human dental pulp and periradicular tissues. Its study and practice encompass the basic and clinical sciences including biology of the normal pulp, the etiology, diagnosis, prevention and treatment of diseases and injuries of the pulp and associated periradicular conditions.
Notes: Source: Council on Dental Education and Licensure, American Dental Association

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1316339526 Matthew Mauger Dentist 4001 Lake Otis Pkwy Ste 202, Anchorage, AK 99508 2015-02-25
1497195119 Jess T Ellis Dds, Ms, Inc Dentist 11741 Barr Rd, Anchorage, AK 99516-2164 2013-06-26
1740430586 Jess Taylor Ellis Dentist 800 E Dimond Blvd Ste 3-600, Anchorage, AK 99515-2045 2008-09-29
1477765394 Douglas J. Luiten, D.m.d., P.C. Dentist 4001 Laurel Street, Suite 208, Anchorage, AK 99508 2007-05-04
1780805838 Heather R Sulte Dentist 2000 Abbott Road, Suite 100, Anchorage, AK 99507 2007-05-02
1699764670 Orest Mychajlo Harkacz Sr. Dentist 4001 Lake Otis Pkwy, Suite 202, Anchorage, AK 99508-5211 2005-10-20
1265437321 Richard A. Siry Dentist 2702 Denali St, Ste 200, Anchorage, AK 99503-2747 2005-06-16
1649713074 Darin Anderson, LLC Dentist 800 E Dimond Blvd Ste 3-600, Anchorage, AK 99515-2045 2016-12-03
1326103383 Michael J. Mauger Dentist 4001 Lake Otis Pkwy, Suite 202, Anchorage, AK 99508-5211 2006-12-27
1477618445 Michael L Mark Dentist 4001 Lake Otis Pkwy, Suite 202, Anchorage, AK 99508-5211 2006-12-27
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Competitor

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City ANCHORAGE
Zip Code 99508

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Dataset Information

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.

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