GEORGE JEDLICKA DMD, PC (NPI# 1760741177) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1760741177 |
| Entity Type | Organization |
| Organization Name | GEORGE JEDLICKA DMD, PC |
| Practice Address |
44604 Sterling Hwy#d Soldotna AK 99669 |
| Practice Telephone | 9072604700 |
| Practice Fax Number | 9072604004 |
| Mailing Telephone | 9072604700 |
| Mailing Fax Number | 9072604004 |
| Enumeration Date | 2012-05-07 |
| Last Update Date | 2012-05-07 |
| Authorized Official Name | DR. GEORGE A JEDLICKA (DENTIST) |
| Authorized Official Telephone | 9072604700 |
| Authorized Official Credential | DMD |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 1223G0001X |
Dentist Specialization: General Practice |
AK#1106 | AK | Dental Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| AK | DD11061 | 05 |
| Street Address |
44604 STERLING HWY#D |
| City | SOLDOTNA |
| State | AK |
| Zip Code | 99669 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1881201226 | Kyle Arron Shassetz | Counselor | 43335 K-beach Rd., Soldotna, AK 99669 | 2020-09-29 |
| 1720614993 | Peninsula Instacare | Clinic/Center | 34581 Kenai Spur Hwy, Suite 1, Soldotna, AK 99669 | 2020-03-19 |
| 1871141077 | Alaine Viola Lagasse | Counselor | Kenai Vet Center, 43299 Kalifornsky Beach Road Ste 4, Soldotna, AK 99669 | 2019-08-30 |
| 1962970574 | Ryder R Storm | Behavior Technician | 338800 Community College Drive, Suite 1, Soldotna, AK 99669 | 2018-11-13 |
| 1356821540 | Tanecia Webster | Nurse Practitioner | 36570 Kenai Spur Hwy, Ste 103a, Soldotna, AK 99669 | 2018-08-16 |
| 1821519869 | Theresa Napolitano | Case Manager/Care Coordinator | 35477 Kenai Spur Hwy Suite 203, Soldotna, AK 99669 | 2017-06-29 |
| 1689048282 | Jeanne Bignell | Licensed Practical Nurse | 35020 Alaskan View Lane, Soldotna, AK 99669 | 2015-11-19 |
| 1952786105 | Ian Charles Mcmullen | Pharmacist | 44001 Sterling Highway, Soldotna, AK 99669 | 2015-07-29 |
| 1841679933 | Lana Clymer | Case Manager/Care Coordinator | 22994 Kalifornsky Beach Rd, Soldotna, AK 99669 | 2015-05-22 |
| 1861800773 | Phillip Bruce | Physical Therapy Assistant | 35105 Kenai Spury Hwy, Suite A, Soldotna, AK 99669 | 2014-07-24 |
| Find all providers in zip 99669 | ||||
| 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 |
|---|---|---|---|---|
| 1558852954 | Soldotna Family Dental | Dentist | 36297 Kenai Spur Hwy, Soldotna, AK 99669-7106 | 2018-05-22 |
| 1447336334 | Christopher Lane Hudson | Dentist | 133 Marydale Avenue, Soldotna, AK 99669 | 2006-10-31 |
| 1790898898 | George A Jedlicka | Dentist | 44604 Sterling Hwy #d, Soldotna, AK 99669-0000 | 2006-08-16 |
| 1922586932 | Thornton Simnitt | Dentist | 36297 Kenai Spur Hwy, Soldotna, AK 99669-7106 | 2018-08-01 |
| 1346658127 | Peninsula Dental Center | Dentist | 47707 Judy Lynn Lane, Soldotna, AK 99669 | 2014-07-24 |
| 1093123879 | Peninsula Dental Center | Dentist | 47707 Judy Lynn Lane, Soldotna, AK 99669 | 2014-07-24 |
| 1174858542 | Ronald L Martinelli | Dentist | 155 Smith Way, Suite 102, Soldotna, AK 99669-8035 | 2009-10-02 |
| 1942476478 | Dan Owen Pitts | Dentist | 155 Smith Way, Suite 102, Soldotna, AK 99669-8035 | 2008-05-05 |
| 1679618524 | Robert J Bauder | Dentist | 36275 Kenai Spur Hwy, Suite #1, Soldotna, AK 99669-7106 | 2007-02-20 |
| 1225193949 | John Samuel Miley | Dentist | 44539 Sterling Hwy, 203, Soldotna, AK 99669-7938 | 2006-12-22 |
| Find all providers in SOLDOTNA | ||||
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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.