DR. CLINTON C HENRIE (NPI# 1417158080) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1417158080 |
| Entity Type | Individual |
| Full Name | DR. CLINTON C HENRIE |
| Practice Address |
4361 Boniface Pkwy Anchorage AK 99504-4316 |
| Mailing Address |
1942 Circlewood Dr Anchorage AK 99516-1993 |
| Practice Telephone | 9073331211 |
| Practice Fax Number | 9073338600 |
| Mailing Telephone | 9073331211 |
| Mailing Fax Number | 9073338600 |
| Enumeration Date | 2007-05-30 |
| Last Update Date | 2007-07-08 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 1223G0001X |
Dentist Specialization: General Practice |
1172 | AK | Dental Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| AK | DD4557 | 05 |
| Street Address |
4361 BONIFACE PKWY |
| City | ANCHORAGE |
| State | AK |
| Zip Code | 99504-4316 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1104996214 | Family Medical Dental Center of Alaska Inc | Dentist | 4361 Boniface Pkwy, Anchorage, AK 99504-4316 | 2006-11-08 |
| 1972150365 | Anchorage Camai Dental Clinic, LLC | Clinic/Center | 4361 Boniface Pkwy, Anchorage, AK 99504-4314 | 2019-08-21 |
| 1629495262 | Reynalda M De Guzman LLC | Clinic/Center | 4361 Boniface Pkwy, Anchorage, AK 99504-4316 | 2014-03-20 |
| 1457609083 | Family Medical Dental Center LLC | Clinic/Center | 4361 Boniface Pkwy, Anchorage, AK 99504-4316 | 2012-08-29 |
| 1891073730 | Jesse David Ostby | Dentist | 4361 Boniface Pkwy, Anchorage, AK 99504-4316 | 2011-07-26 |
| 1417109265 | Lauren Gagliano | Dentist | 4361 Boniface Pkwy, Anchorage, AK 99504-4316 | 2008-10-10 |
| 1902007636 | Danielle M Larue | Dentist | 4361 Boniface Pkwy, Anchorage, AK 99504-4316 | 2007-05-30 |
| 1922218064 | Reynalda M Deguzman | General Practice | 4361 Boniface Pkwy, Anchorage, AK 99504-4316 | 2007-05-23 |
| 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 | 1223G0001X |
| Grouping | Dental Providers |
| Classification | Dentist |
| Specialization | General Practice |
| A general dentist is the primary dental care provider for patients of all ages. The general dentist is responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs. |
| Notes: Source: Academy of General Dentistry |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1568024388 | North Coast Dental LLC | Dentist | 2020 Abbott Rd Ste 1, Anchorage, AK 99507-4624 | 2019-07-01 |
| 1215433768 | Ryan P. Ersland, D.m.d. LLC | Dentist | 2525 Gambell St Ste 304a, Anchorage, AK 99503-2838 | 2018-04-03 |
| 1699289645 | Jae Won Lee | Dentist | 726 E. 9th Avenue, Anchorage, AK 99501 | 2017-11-29 |
| 1295271492 | Maurice J Welch Dds A Professional Corporation | Dentist | 4450 Cordova St Ste 210, Anchorage, AK 99503-7273 | 2017-01-11 |
| 1811355456 | Geon Bae | Dentist | 3340 Providence Dr Ste 552, Anchorage, AK 99508 | 2016-02-09 |
| 1326421850 | Hyrum Murdoch | Dentist | 4200 Lake Otis Pkwy Ste 201, Anchorage, AK 99508-5226 | 2015-07-01 |
| 1043603194 | Keith D. Mcgranahan | Dentist | 1407 W 31st St., Anchorage, AK 99503 | 2015-03-13 |
| 1376941260 | Joshua Michael Kennedy | Dentist | 625 E 34th Ave Ste 301, Anchorage, AK 99503-4154 | 2014-12-09 |
| 1649609439 | Smiles Dental Alaska, LLC | Dentist | 9138 Arlon St Ste B, Anchorage, AK 99507-3876 | 2013-11-02 |
| 1790027134 | Healthy Smiles Forever, LLC | Dentist | 5576 Sapphire Loop, Anchorage, AK 99504-6000 | 2013-03-25 |
| 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.