DR. MARC DESJARLAIS (NPI# 1194018747) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1194018747 |
| Entity Type | Individual |
| Full Name | DR. MARC DESJARLAIS |
| Credential | DDS |
| Practice Address |
3245 Hospital Dr Juneau AK 99801-7809 |
| Practice Telephone | 9074636652 |
| Mailing Telephone | 9074636652 |
| Enumeration Date | 2011-05-16 |
| Last Update Date | 2014-06-19 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 1223D0001X |
Dentist Specialization: Dental Public Health |
D13172 | MN | Dental Providers |
| Street Address |
3245 HOSPITAL DR |
| City | JUNEAU |
| State | AK |
| Zip Code | 99801-7809 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1538167044 | Timothy H Strand | Optometrist | 3245 Hospital Dr, Juneau, AK 99801-7809 | 2005-07-08 |
| 1770105579 | Dillon J Covey | Student in an Organized Health Care Education/Training Program | 3245 Hospital Dr, Juneau, AK 99801-7809 | 2020-05-14 |
| 1114552304 | Rachel Noelani Jahraus | Student in an Organized Health Care Education/Training Program | 3245 Hospital Dr, Juneau, AK 99801-7809 | 2020-03-08 |
| 1134782550 | Danna Madeline Lehneis | Student in an Organized Health Care Education/Training Program | 3245 Hospital Dr, Juneau, AK 99801-7809 | 2019-04-22 |
| 1346703501 | Rhett Allen Berg | Student in an Organized Health Care Education/Training Program | 3245 Hospital Dr, Juneau, AK 99801-7809 | 2019-04-12 |
| 1366936304 | Kaela Burke | Community Health Worker | 3245 Hospital Dr, Juneau, AK 99801-7809 | 2018-06-21 |
| 1346781291 | Rochell Burke | Dentist | 3245 Hospital Dr, Juneau, AK 99801-7809 | 2017-03-12 |
| 1083153134 | Kristin Johanson | Community Health Worker | 3245 Hospital Dr, Juneau, AK 99801-7809 | 2017-02-21 |
| 1760840110 | Kelly O'shaughnessy | Dentist | 3245 Hospital Dr, Juneau, AK 99801-7809 | 2016-01-31 |
| 1871950386 | Sarah Frampton | Dentist | 3245 Hospital Dr, Juneau, AK 99801-7809 | 2016-01-28 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1225652407 | Juneau Youth Services, Inc. | Community/Behavioral Health | 1600 Renninger St, Juneau, AK 99801 | 2020-06-03 |
| 1316561590 | Juneau Youth Services, Inc. | Community/Behavioral Health | 2901 Riverside Dr, Juneau, AK 99801 | 2020-06-03 |
| 1366066540 | Juneau Youth Services, Inc. | Community/Behavioral Health | 3400 Tongass Blvd, Juneau, AK 99801 | 2020-06-03 |
| 1134743313 | Juneau Youth Services, Inc. | Community/Behavioral Health | 3800 Mendenhall Lp Rd, Juneau, AK 99801 | 2020-06-03 |
| 1235753419 | Juneau Youth Services, Inc. | Community/Behavioral Health | 9001 Mendenhall Lp Rd, Juneau, AK 99801 | 2020-06-03 |
| 1043834245 | Juneau Youth Services, Inc. | Residential Treatment Facility, Emotionally Disturbed Children | 10685 Mendenhall Loop Rd, Juneau, AK 99801 | 2020-06-03 |
| 1295359511 | Juneau Youth Services, Inc. | Residential Treatment Facility, Emotionally Disturbed Children | 10801 Black Bear Rd, Juneau, AK 99801 | 2020-06-02 |
| 1700400033 | Juneau Youth Services, Inc. | Residential Treatment Facility, Emotionally Disturbed Children | 10685 Mendenhall Lp Rd, Juneau, AK 99801 | 2020-06-02 |
| 1831733351 | Monalisa Vaolete Lauofo | Counselor | 5594 Aisek Street, Juneau, AK 99801 | 2019-10-29 |
| 1245873033 | Ryan Isadore | Counselor | 1613 Anka Street, Juneau, AK 99801 | 2019-10-24 |
| Find all providers in zip 99801 | ||||
| Taxonomy Code | 1223D0001X |
| Grouping | Dental Providers |
| Classification | Dentist |
| Specialization | Dental Public Health |
| 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. |
| Notes: Source: Council on Dental Education and Licensure, American Dental Association |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1437233277 | Lucia Helena Nascimento | Dentist | 3245 Hospital Dr, Juneau, AK 99801-7809 | 2006-10-25 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1194217638 | Kathryn Davis Mctigue | Dentist | Nome Bypass Rd, Nome, AK 99762 | 2018-05-31 |
| 1437542594 | Raymond Reeves | Dentist | 216 Dalton Street, Suite 102, Haines, AK 99827 | 2015-03-13 |
| 1992877385 | Charles Richard Hazen | Dentist | 131 1st Ave. South, Haines, AK 99827-1529 | 2006-11-14 |
| 1255837720 | Joseph Robert Sem | Dentist | 1000 Greg Kruschek Ave, Nome, AK 99762-9976 | 2018-04-03 |
| 1770847642 | Roseann Marie Dameron | Dentist | 1717 West Cowles Street, Fairbanks, AK 99701-4803 | 2012-06-26 |
| 1720356520 | Amanda Shavings | Dentist | 829 Chief Eddie Hoffman Highway, Bethel, AK 99559-0528 | 2011-12-07 |
| 1609031285 | Andrew James Wappett | Dentist | 122 1st Ave, Suite 600, Fairbanks, AK 99701-4803 | 2008-07-23 |
| 1497957278 | Maniilaq Association | Dentist | 436 5th & Ted Stevens Way, Kotzebue, AK 99752 | 2007-06-04 |
| 1255362901 | Michael Richard Kwasinski | Dentist | 122 1st Ave, Suite 600, Fairbanks, AK 99701-4803 | 2006-07-05 |
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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.