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MANIILAQ ASSOCIATION NPI 1497957278


NPI Information

NPI: 1497957278
Provider Name: MANIILAQ ASSOCIATION

Doing Business As: MANIILAQ HEALTH CENTER

Classification: Dentist - 1223D0001X
Entity Type: Organization

Specialization: Dental Public Health

Address:
436 5TH & TED STEVENS WAY
KOTZEBUE, AK
ZIP 99752
Phone: (907) 442-3321
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MANIILAQ ASSOCIATION is a dental public health dentist in Kotzebue, AK. The provider is the science and art of preventing and controlling dental diseases and promoting dental health through organized community efforts. It is that form of dental practice that serves the community as a patient rather than the individual. It is concerned with the dental health education of the public, with applied dental research, and with the administration of group dental care programs as well as the prevention and control of dental diseases on a community basis. MANIILAQ ASSOCIATION NPI is 1497957278. The provider is registered as an organization entity type and is a single specialty group.
The provider Is Doing Business As Maniilaq Health Center.

The provider's business location address is:

436 5TH & TED STEVENS WAY
KOTZEBUE, AK
ZIP 99752
Phone: (907) 442-3321
Fax: (907) 442-7250

The provider's authorized official is Paul Hanson .
The authorized official title is Administrator and has the following contact phone number (907) 442-3321.

The enumeration date for this NPI number is 6/4/2007 and was last updated on 8/22/2020.


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
11223D0001XDentistDental Public Health234051ALASKAYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No. Other Provider Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
1DDG461MEDICAIDALASKA

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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