DR. PAUL J ENGIBOUS (NPI# 1689733750) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1689733750 |
| Entity Type | Individual |
| Full Name | DR. PAUL J ENGIBOUS |
| Credential | DDS |
| Practice Address |
330 E Tudor Rd Anchorage AK 99503 |
| Practice Telephone | 9075221567 |
| Practice Fax Number | 9073449036 |
| Mailing Telephone | 9075221567 |
| Mailing Fax Number | 9073449036 |
| Enumeration Date | 2006-12-06 |
| Last Update Date | 2007-07-08 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 1223P0221X |
Dentist Specialization: Pediatric Dentistry |
918 | AK | Dental Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| AK | DD0918 | 05 |
| Street Address |
330 E TUDOR RD |
| City | ANCHORAGE |
| State | AK |
| Zip Code | 99503 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1720003528 | Shane T. Murphy | Dentist | 330 E Tudor Rd, Anchorage, AK 99503-7369 | 2006-07-13 |
| 1871133405 | Heidi Alexandra La Rocco Rocco | Dental Assistant | 330 E Tudor Rd, Anchorage, AK 99503-7369 | 2020-01-11 |
| 1366670093 | Tudor Dental Group LLC | Dentist | 330 E Tudor Rd, Anchorage, AK 99503-7369 | 2009-07-01 |
| 1386848901 | Seth Dale Murphy | Dentist | 330 E Tudor Rd, Anchorage, AK 99503-7369 | 2007-06-14 |
| 1588723639 | Michelle L Slezewski | Dentist | 330 E Tudor Rd, Anchorage, AK 99503 | 2006-12-06 |
| 1659390904 | George T. Murphy | Dentist | 330 E Tudor Rd, Anchorage, AK 99503-7369 | 2006-07-18 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1164020772 | Miladis Mcduffie | Massage Therapist | 1350 W. Northern Lights Blvd, Ste C, Anchorage, AK 99503 | 2020-10-15 |
| 1447804984 | Bethany Lynn Becker | Optometrist | 401 E. Northern Lights Blvd. Suite 102, Anchorage, AK 99503 | 2019-08-01 |
| 1265084933 | Carr-gottstein Foods Co | Durable Medical Equipment & Medical Supplies | 2920 Seward Hwy, Anchorage, AK 99503 | 2019-07-12 |
| 1982268942 | Rukiyia Smith | Behavior Technician | 205 E Northern Lights Blvd, Suite 110, Anchorage, AK 99503 | 2019-04-25 |
| 1245894310 | Mary Kathleen Tate | Specialist/Technologist | 205 E. Northern Lights Blvd, Suite 110, Anchorage, AK 99503 | 2019-04-24 |
| 1194295766 | Kimberly Sue Trent | Registered Nurse | 670 W. Fireweed Lane Suite 160, Anchorage, AK 99503 | 2018-11-27 |
| 1659869089 | Alaska Spine & Pain Center, LLC | Chiropractor | 3901 Old Seward Hwy Ste 11, Anchorage, AK 99503 | 2018-05-01 |
| 1235643123 | Rosanne Louise Klouda | Massage Therapist | 213 Fireweed Ln, Anchorage, AK 99503 | 2017-11-30 |
| 1801309042 | Online Care Group Alaska | General Practice | 200 W. 34th Ave, Anchorage, AK 99503 | 2017-11-09 |
| 1548773849 | Leslie K Michalski | Massage Therapist | 510 W Tudor Rd Ste 9, Anchorage, AK 99503 | 2017-11-08 |
| Find all providers in zip 99503 | ||||
| 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 |
| 1487171088 | Acd, LLC | Dentist | 3340 Providence Dr., Suite 552, Anchorage, AK 99508 | 2017-08-24 |
| 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 |
| 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.