DR. JOSHUA GLENN HYATT


Address: 4076 Neely Rd, Fort Wainwright, AK 99703
Phone: 9073615135

DR. JOSHUA GLENN HYATT (NPI# 1093062861) 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) 1093062861
Entity Type Individual
Full Name DR. JOSHUA GLENN HYATT
Credential D.M.D.
Practice Address 4076 Neely Rd
Fort Wainwright
AK 99703
Mailing Address Usa Dentac-ak, Attn: Credentials
1060 Gaffney Road Stop 7500
Fort Wainwright
AK 99703
Practice Telephone 9073615135
Enumeration Date 2012-08-10
Last Update Date 2017-08-28
Gender Code M
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
N 1223G0001X Dentist
Specialization: General Practice
8135 SC Dental Providers
Y 1223S0112X Dentist
Specialization: Oral and Maxillofacial Surgery
8135 SC Dental Providers

Office Location

Street Address 4076 NEELY RD
City FORT WAINWRIGHT
State AK
Zip Code 99703

Providers in the same location

NPI Name Taxonomy Address Enumeration
1720021421 Michael Shawn Neff Family Medicine 4076 Neely Rd, Basset Army Community Hospital, Fort Wainwright, AK 99703 2006-06-13
1295215515 Aimee Duncan Dietitian, Registered 4076 Neely Rd, Fort Wainwright, AK 99703 2018-08-16
1891243374 Lorna D Newman-hill Nurse Practitioner 4076 Neely Rd, Fort Wainwright, AK 99703-1376 2016-09-14
1053775213 Robert Fisher Licensed Practical Nurse 4076 Neely Rd, Bassett Army Community Hospital Internal Med Clinic, Fort Wainwright, AK 99703 2016-04-13
1023492394 Sean Gregory Penberthy Obstetrics & Gynecology 4076 Neely Rd, Fort Wainwright, AK 99703 2015-07-16
1902210552 Christina Remmert Internal Medicine 4076 Neely Rd, Bassett Army Community Hospital, Fort Wainwright, AK 99703 2014-06-11
1306289764 Steven George Ward Orthopaedic Surgery 4076 Neely Rd, Fort Wainwright, AK 99703 2013-04-16
1023356797 Momodoulamin Si Drammeh Physician Assistant 4076 Neely Rd, Fort Wainwright, AK 99703 2013-01-30
1598059461 Andrey Yusupov Radiology 4076 Neely Rd, Fort Wainwright, AK 99703 2011-06-07
1063746931 Darnell Autry Durrah Jr. Psychologist 4076 Neely Rd, Fort Wainwright, AK 99703 2009-09-25
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Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1144866435 Rebecca P Conner Registered Nurse Bach, 1060 Gafney Rd, Ft Wainwright, AK 99703 2019-11-21
1881242030 Stephanie Morse Counselor Bldg 3406 Alder Ave, Ft. Wainwright, AK 99703 2019-08-30
1801376702 Matthew Gerard Somma Physician Assistant 1-25 Attack Reconnaissance Bn, Fort Wainwright, AK 99703 2018-08-20
1003268657 Brandy Tristan Dental Hygienist Bldg 3406, Troop Dental Clinic, Ft. Wainwright, AK 99703 2016-07-07
1174998918 Jeffrey Grace Physician Assistant Bassett Army Medical Center (kamish Clinic), 1060 Gaffney Rd, Ft Wainwright, AK 99703 2015-12-04
1073999215 Melanie Anne Whalen Dentist 4055 Tamarak Dr, Ft Wainwright, AK 99703 2015-08-10
1790183176 Sally Jane Rall Counselor 3406 Adler Ave, Fairbanks, AK 99703 2014-12-16
1083029193 Francesann Hill General Practice 3214 East Santiago Avenue, Apo, AP 99703 2014-06-26
1669883146 Amber Benton Psychiatry & Neurology 4005-4007 602nd St, Fort Wainwright, AK 99703 2014-05-18
1952720898 Allison Hubert Occupational Therapist 3410 Rhineland Ave, Rm 108, Fort Wainwright, AK 99703 2014-04-08
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Taxonomy Information

Taxonomy Code 1223S0112X
Grouping Dental Providers
Classification Dentist
Specialization Oral and Maxillofacial Surgery

Taxonomy Definition

The specialty of dentistry which includes the diagnosis, surgical and adjunctive treatment of diseases, injuries and defects involving both the functional and esthetic aspects of the hard and soft tissues of the oral and maxillofacial region.
Notes: Source: Council on Dental Education and Licensure, American Dental Association

Providers in the same taxonomy and state

NPI Name Taxonomy Address Enumeration
1215446042 Frontier Oral & Maxillofacial Surgery LLC Dentist 3220 Providence Dr Ste E3-080, Anchorage, AK 99508-4657 2017-09-25
1235679515 Matthew A Monaco Dds,llc Dentist 3465 E Meridian Park Loop, Suite A, Wasilla, AK 99654-7264 2017-03-06
1063710994 Fairbanks Oral Surgery, LLC Dentist 12810 Glen Alps Rd, Anchorage, AK 99516-6956 2011-03-01
1760619118 Bradley John Szutz Dentist 1200 Airport Heights Dr. Suite #265, Anchorage, AK 99508 2009-06-12
1689810707 Alaska Oral Surgery Group, P.C. Dentist 1200 Airport Heights Dr Ste 265, Anchorage, AK 99508-2988 2008-12-18
1174709927 Summit Oral Surgery LLC Dentist 1700 E Bogard Rd Ste B202, Wasilla, AK 99654-6570 2008-01-10
1023145026 Sarah J Satow Dentist 114 Minnie St., Suite D, Fairbanks, AK 99701 2007-02-27
1861549909 Richard H. Day Dentist 1700 Bogard Rd Bldg B Suite 202, Wasilla, AK 99654-6563 2007-01-04
1194745570 David M. Edwards Dentist 3330 Windlass Cir, Anchorage, AK 99516-3438 2006-07-20
1225058977 Ray A. Holloway Dentist 111 W 16th Ave, Suite 203, Anchorage, AK 99501-6206 2006-07-19
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Competitor

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City FORT WAINWRIGHT
Zip Code 99703

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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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