ACD, LLC (NPI# 1487171088) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1487171088 |
| Entity Type | Organization |
| Organization Name | ACD, LLC |
| Other Organization Name | AURORA CHILDREN'S DENTISTRY |
| Practice Address |
3340 Providence Dr. Suite 552 Anchorage AK 99508 |
| Mailing Address |
3340 Providence Dr Ste 552 Anchorage AK 99508-4643 |
| Practice Telephone | (907) 336-1234 |
| Practice Fax Number | 9073364321 |
| Mailing Telephone | 9073361234 |
| Mailing Fax Number | 9073364321 |
| Enumeration Date | 2017-08-24 |
| Last Update Date | 2017-08-24 |
| Authorized Official Name | MARK JAMES MCLEAN (PRESIDENT) |
| Authorized Official Telephone | 9073361234 |
| Authorized Official Credential | DMD |
| Is Organization Subpart | Y |
| Parent Organization Name | - |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 1223P0221X |
Dentist Specialization: Pediatric Dentistry |
10064075 | AK | Dental Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| AK | DENTIST | 0888 | 01 |
| Other Name | Type Code |
|---|---|
| Aurora Children's Dentistry | Doing Business As Name - Organization |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| Colorado Business Entities | ACD, LLC | 97 Crown Point Place, Castle Rock, CO 80108 |
| Street Address |
3340 PROVIDENCE DR. SUITE 552 |
| City | ANCHORAGE |
| State | AK |
| Zip Code | 99508 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1366063349 | Alexandra L Davis | Student in an Organized Health Care Education/Training Program | 1202 E 36th Ave, Anchorage, AK 99508 | 2020-05-01 |
| 1366087108 | The Salvation Army, A California Corporation | Community/Behavioral Health | 3600 East 20th Avenue, Anchorage, AK 99508 | 2019-11-15 |
| 1679120349 | Kila Gilcart | Speech-Language Pathologist | 161 Klevin Street #103, Anchorage, AK 99508 | 2019-08-19 |
| 1326692963 | Shannon Maillet | Behavior Technician | 1650 S Bragaw, Anchorage, AK 99508 | 2019-07-31 |
| 1427602044 | Frank Harris Lawson Iv | Behavior Technician | 1650 S. Bragaw, Anchorage, AK 99508 | 2019-07-31 |
| 1104470723 | Vivalesi Seforosa Nair | Behavior Technician | 1650 South Bragaw, Anchorage, AK 99508 | 2019-07-31 |
| 1043864267 | The Cozy Chalet Assisted Living Home LLC | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 3707 Mt Blanc Circle, Anchorage, AK 99508 | 2019-07-25 |
| 1942861778 | Christine Mary Hoover | Registered Nurse | Alaska Native Medical Center - Inpatient Pediatrics, 4315 Diplomacy Dr, Anchorage, AK 99508 | 2019-06-24 |
| 1215594502 | Ashley Ongtowasruk | Case Manager/Care Coordinator | 4441 Dipomacy Dr, Suite 500, Anchorage, AK 99508 | 2019-05-22 |
| 1659937019 | Rayne Johnson | Behavior Technician | 4000 San Ernesto Blvd, Anchorage, AK 99508 | 2019-05-11 |
| Find all providers in zip 99508 | ||||
| Taxonomy Code | 1223P0221X |
| Grouping | Dental Providers |
| Classification | Dentist |
| Specialization | Pediatric Dentistry |
| An age-defined specialty that provides both primary and comprehensive preventive and therapeutic oral health care for infants and children through adolescence, including those with special health care needs. |
| Notes: Source: Council on Dental Education and Licensure, American Dental Association |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1083251078 | Alison Walsh, LLC | Dentist | 2601 Boniface Pkwy Ste 2, Anchorage, AK 99504-3144 | 2019-12-09 |
| 1124673165 | Bitesize Pediatric Dentistry, LLC | Dentist | 9138 Arlon St Ste A2, Anchorage, AK 99507-3876 | 2019-08-06 |
| 1528541752 | Todd C Miles LLC Dba Delaney Park Dental | Dentist | 880 N St Ste 301, Anchorage, AK 99501-3276 | 2018-09-13 |
| 1730591298 | Easte Warnick | Dentist | 3818 Westminster Way, Anchorage, AK 99508-4834 | 2014-06-02 |
| 1497166565 | Kristina Rabatin | Dentist | 4705 Piper St, Unit 1, Anchorage, AK 99507-1530 | 2014-05-12 |
| 1831408533 | James H Case Jr. | Dentist | 11000 Lipscomb St, Anchorage, AK 99516-1511 | 2010-09-28 |
| 1437333804 | Marie J English | Dentist | 625 E 34th Ave Ste 302, Anchorage, AK 99503-4154 | 2007-12-20 |
| 1588858260 | Mark Edward Keller | Dentist | 1310 E Dimond Blvd Ste 3, Anchorage, AK 99515-2031 | 2007-09-05 |
| 1720135999 | Christine A Roalofs | Dentist | 700 Muldoon Rd, Anchorage, AK 99504-2030 | 2007-01-03 |
| 1093874935 | Dentistry for Children, Inc | Dentist | 880 N St Ste 101, Anchorage, AK 99501-3276 | 2006-12-06 |
| 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.