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VALLEY NEIGHBORHOOD DENTAL CENTER NPI 1265009377


NPI Information

NPI: 1265009377
Provider Name: VALLEY NEIGHBORHOOD DENTAL CENTER
Classification: Clinic/Center - 261QD0000X
Entity Type: Organization

Specialization: Dental

Address:
304 W EVERGREEN AVE STE 101B
PALMER, AK
ZIP 99645
Phone: (907) 745-1966
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VALLEY NEIGHBORHOOD DENTAL CENTER is a dental clinic center in Palmer, AK. VALLEY NEIGHBORHOOD DENTAL CENTER NPI is 1265009377. The provider is registered as an organization entity type.

The provider's business location address is:

304 W EVERGREEN AVE STE 101B
PALMER, AK
ZIP 99645-970
Phone: (907) 745-1966

The provider's authorized official is Rex Malcom .
The authorized official title is Owner and has the following contact phone number (907) 602-8649.

The enumeration date for this NPI number is 6/7/2021 and was last updated on 6/7/2021.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1261QD0000XClinic/CenterDentalYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 5/5/2024

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