MR. REX C. MALCOM (NPI# 1255454815) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1255454815 |
| Entity Type | Individual |
| Full Name | MR. REX C. MALCOM |
| Credential | PHARM. D, DMD |
| Practice Address |
6611 Debarr Rd Suite 200 Anchorage AK 99504-1706 |
| Practice Telephone | 9073370404 |
| Mailing Telephone | 9073370404 |
| Enumeration Date | 2007-04-09 |
| Last Update Date | 2015-06-29 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 122300000X | Dentist | 100531 | AK | Dental Providers |
| N | 183500000X | Pharmacist | 1523 | AK | Pharmacy Service Providers |
| Street Address |
6611 DEBARR RD SUITE 200 |
| City | ANCHORAGE |
| State | AK |
| Zip Code | 99504-1706 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1437263449 | Mark Allen Just | Dentist | 6611 Debarr Rd, Suite 101, Anchorage, AK 99504-1706 | 2006-08-18 |
| 1093121279 | Just and Mishler Dental Group LLC | Clinic/Center | 6611 Debarr Rd, Suite 101, Anchorage, AK 99504-1706 | 2014-07-08 |
| 1376830893 | Adam Walker | Dentist | 6611 Debarr Rd, Suite 200, Anchorage, AK 99504-1706 | 2011-07-05 |
| 1508173477 | Mark A Just Ddsllc | Dentist | 6611 Debarr Rd, Suite 101, Anchorage, AK 99504-1706 | 2010-09-13 |
| 1841447273 | Alaska Premier Dental Group- Ste100,llc | Dentist | 6611 Debarr Rd, Ste 100, Anchorage, AK 99504-1706 | 2008-08-27 |
| 1710134457 | Joseph Baggette | Dentist | 6611 Debarr Rd, Ste 200, Anchorage, AK 99504-1706 | 2008-08-25 |
| 1366699092 | Brian E Kruchoski | Dentist | 6611 Debarr Rd, Ste 200, Anchorage, AK 99504-1706 | 2008-08-25 |
| 1770709099 | Alaska Premier Dental Group, LLC | Dentist | 6611 Debarr Rd, Suite 200, Anchorage, AK 99504-1706 | 2007-04-17 |
| 1821157801 | Michael A. Maxwell, D.d.s. and Aaron G. Wells, D.d.s., LLC | Dentist | 6611 Debarr Rd, Suite 100, Anchorage, AK 99504-1706 | 2006-12-06 |
| 1316006372 | Michael A. Maxwell | Dentist | 6611 Debarr Rd, Suite 100, Anchorage, AK 99504-1706 | 2006-12-06 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1962011593 | Deyoung Dentistry, LLC | Clinic/Center | 2601 Boniface Parkway Suite 1, Anchorage, AK 99504 | 2020-07-29 |
| 1881257475 | Tirzah Shelton | Psychologist | Veteran Affairs Clinic, 1201 North Muldoon, Anchorage, AK 99504 | 2019-04-18 |
| 1831651652 | Mekennah Ward | Massage Therapist | 7731 Northern Lights Blvd, #220, Anchorage, AK 99504 | 2019-04-01 |
| 1952883266 | Quality & Quantity Care Services LLC | Custodial Care Facility | 848 Elaine Dr, Anchorage, Ak, 99504, The Same, Anchorage, AK 99504 | 2018-09-04 |
| 1659858587 | Chloe Janelle Escalante | Psychologist | 511 Oaklahoma St., Apt 2, Anchorage, AK 99504 | 2018-07-24 |
| 1184100141 | Haa LLC | Durable Medical Equipment & Medical Supplies | 1409 Twining Dr, Anchorage, AK 99504 | 2018-07-12 |
| 1831626225 | Christian Wilfred, Thomas Garrett | Social Worker | 1201 N Mulddon Rd, Anchorage, AK 99504 | 2017-05-16 |
| 1609309954 | Rowena R Jones | Assisted Living Facility | 4009 Scenic View, Anchorage, AK 99504 | 2017-04-04 |
| 1982156733 | Agape Care Coordination LLC | Case Manager/Care Coordinator | 2050 Paxson Dr., Anchorage, AK 99504 | 2016-10-27 |
| 1649626169 | Pa Lou Vang | Registered Nurse | 7404 E 4th Ave Unit B, Anchorage, AK 99504 | 2016-05-13 |
| Find all providers in zip 99504 | ||||
| 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 |
| 1194281725 | South Gate Cosmetic & Implant Dentistry LLC | Dentist | 12570 Old Seward Hwy Ste 201, Anchorage, AK 99515-3532 | 2019-02-19 |
| 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 |
| Find all providers in ANCHORAGE | ||||
Please comment or provide details below to improve the information on MR. REX C. MALCOM.
| 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.