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).
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 |
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 |
Street Address |
4076 NEELY RD |
City | FORT WAINWRIGHT |
State | AK |
Zip Code | 99703 |
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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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 |
Find all providers in zip 99703 |
Taxonomy Code | 1223S0112X |
Grouping | Dental Providers |
Classification | Dentist |
Specialization | Oral and Maxillofacial Surgery |
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 |
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 |
Find all providers with the same taxonomy |
City | FORT WAINWRIGHT |
Zip Code | 99703 |
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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.