SOUTH GATE COSMETIC & IMPLANT DENTISTRY LLC (NPI# 1194281725) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1194281725 |
| Entity Type | Organization |
| Organization Name | SOUTH GATE COSMETIC & IMPLANT DENTISTRY LLC |
| Practice Address |
12570 Old Seward Hwy Ste 201 Anchorage AK 99515-3532 |
| Mailing Address |
125 N Binkley St Soldotna AK 99669-7521 |
| Practice Telephone | 9073496466 |
| Practice Fax Number | 9072603459 |
| Mailing Telephone | 9072626466 |
| Mailing Fax Number | 9072603459 |
| Enumeration Date | 2019-02-19 |
| Last Update Date | 2019-02-20 |
| Authorized Official Name | JERRY CHI HU (CEO/PRESIDENT) |
| Authorized Official Telephone | 9073496466 |
| Authorized Official Credential | DDS |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 122300000X | Dentist | Dental Providers |
| Street Address |
12570 OLD SEWARD HWY STE 201 |
| City | ANCHORAGE |
| State | AK |
| Zip Code | 99515-3532 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1891293239 | Above The Horizon LLC | Custodial Care Facility | 3300 Amber Bay Loop, Anchorage, AK 99515 | 2018-01-31 |
| 1689103004 | Kristine Troesch | Massage Therapist | 1130 W Dimond Blvd Suite D, Anchorage, AK 99515 | 2017-06-08 |
| 1710433610 | Yichen Chung | Physical Therapist | 9500 Canton Loop, Anchorage, AK 99515 | 2016-08-30 |
| 1093185175 | Lemon Tree Family Medicine, LLC | Family Medicine | 621 W., Dimond Anchorage, AK 99515 | 2015-10-01 |
| 1861891285 | Shawna J Mcelroy | Physician Assistant | 1389 Huffman Road, #150, Anchorage, AK 99515 | 2014-08-21 |
| 1003224189 | Kelly Cutrer | Pharmacist | 12045 Brandon St, Anchorage, AK 99515 | 2014-08-01 |
| 1922419449 | Shady Cook | Case Manager/Care Coordinator | 14041 Sunview Dr., Anchorage, AK 99515 | 2014-05-19 |
| 1699119941 | Lezlee Henry-dupoux | Social Worker | 1221 Huffman Park Drive, Anchorage, AK 99515 | 2013-04-17 |
| 1790035087 | Carmelite Home | Residential Treatment Facility, Physical Disabilities | 9401 Aphrodite Dr., Anchorage, AK 99515 | 2012-09-13 |
| 1982996344 | Richard L Day, Dds, Apc | Dentist | 10998 Omalley Centre Dr., Suite A, Anchorage, AK 99515 | 2011-05-04 |
| Find all providers in zip 99515 | ||||
| Taxonomy Code | 122300000X |
| Grouping | Dental Providers |
| Classification | Dentist |
| A dentist is a person qualified by a doctorate in dental surgery (D.D.S.) or dental medicine (D.M.D.), licensed by the state to practice dentistry, and practicing within the scope of that license. There is no difference between the two degrees: dentists who have a DMD or DDS have the same education. Universities have the prerogative to determine what degree is awarded. Both degrees use the same curriculum requirements set by the American Dental Association's Commission on Dental Accreditation. Generally, three or more years of undergraduate education plus four years of dental school is required to graduate and become a general dentist. State licensing boards accept either degree as equivalent, and both degrees allow licensed individuals to practice the same scope of general dentistry. Additional post-graduate training is required to become a dental specialist. |
| Notes: Source: Council on Dental Education and Licensure, American Dental Association |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1760081558 | Arne Anton Krogh | Dentist | 2665 E Tudor Rd Ste 300, Anchorage, AK 99507-1144 | 2020-10-22 |
| 1821649864 | Chase A Lundin | Dentist | 4001 Lake Otis Pkwy Ste 200, Anchorage, AK 99508-5200 | 2019-09-20 |
| 1992358261 | Shaun Mcnees | Dentist | 2805 Dawson St Ste 101, Anchorage, AK 99503-3800 | 2019-07-16 |
| 1124593769 | Luff Orthodontics Partnership LLC | Dentist | 3708 Rhone Circle, Anchorage, AK 99508 | 2018-10-10 |
| 1457835167 | Motuuf, LLC. | Dentist | 3401 Denali St Ste 201, Anchorage, AK 99503-4001 | 2018-09-18 |
| 1609356310 | Iris Ohsie | Dentist | 1921 W Dimond Blvd Ste 101, Anchorage, AK 99515-1465 | 2018-08-21 |
| 1649797796 | Seong Guy Hyung | Dentist | 726 E 9th Avenue, Anchorage, AK 99501 | 2017-08-29 |
| 1306361712 | Leilani Marlin | Dentist | 2000 Abbott Rd Ste 100, Anchorage, AK 99507-3878 | 2017-08-07 |
| 1750802104 | Ali Azar | Dentist | 1136 N Muldoon Rd, Anchorage, AK 99504-6119 | 2017-07-06 |
| 1659820728 | Jongguon Kim | Dentist | 9138 Arlon St Ste B4, Anchorage, AK 99507-3876 | 2016-09-29 |
| Find all providers in ANCHORAGE | ||||
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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.