MERIDIAN DENTAL, LLC (NPI# 1801335856) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1801335856 |
| Entity Type | Organization |
| Organization Name | MERIDIAN DENTAL, LLC |
| Practice Address |
3465 E Meridian Park Loop Ste C Wasilla AK 99654-7264 |
| Mailing Address |
110 E Swanson Ave Wasilla AK 99654-7024 |
| Practice Telephone | 9073735207 |
| Mailing Telephone | 9073765207 |
| Mailing Fax Number | 9073733430 |
| Enumeration Date | 2017-02-22 |
| Last Update Date | 2017-02-22 |
| Authorized Official Name | KRIS GURR (OWNER/DOCTOR) |
| Authorized Official Telephone | 9073765207 |
| Authorized Official Credential | DDS |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 124Q00000X | Dental Hygienist | 1524 | AK | Dental Providers |
| N | 126800000X | Dental Assistant | 1524 | AK | Dental Providers |
| Y | 1223G0001X |
Dentist Specialization: General Practice |
1524 | AK | Dental Providers |
| Street Address |
3465 E MERIDIAN PARK LOOP STE C |
| City | WASILLA |
| State | AK |
| Zip Code | 99654-7264 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1003426784 | Colleen Maggie Newcity | Case Manager/Care Coordinator | 851 Westpoint Suite 310, Wasilla, AK 99654 | 2020-08-06 |
| 1659995884 | Amy M Lowe | Peer Specialist | 1363 W Spuce Ave, Wasilla, AK 99654 | 2020-06-03 |
| 1922648690 | Achieve Medical Alaska LLC | Clinic/Center | 1981 E Palmer, Suite 230, Wasilla, AK 99654 | 2020-01-10 |
| 1588205538 | Juan Carlos Garcia | Physician Assistant | 950 East Bogard Road, Suite 103, Wasilla, AK 99654 | 2019-10-01 |
| 1427610864 | Sharon Webb | Counselor | 705 S Knik Goose Bay Rd Suite K, Wasilla, AK 99654 | 2019-07-06 |
| 1306401864 | Logan Lee Cook | Peer Specialist | 2953 E Fairview Loop, Wasilla, AK 99654 | 2019-05-09 |
| 1053883595 | Moose Creek Medical Clinic LLC | Nurse Practitioner | 2341 S. Fern St., Suite 300, Wasilla, AK 99654 | 2018-12-21 |
| 1487124962 | Melissa A Stevens | Massage Therapist | 2201 W That Rd, Wasilla, AK 99654 | 2018-11-28 |
| 1609359561 | Audrey E Beers | Midwife | 2405 S. Knik Goose Bay Rd., Wasilla, AK 99654 | 2018-09-07 |
| 1093297418 | Karlee Janine Mccorry | Occupational Therapist | 613 S Knik-goose Bay Rd, Wasilla, AK 99654 | 2018-09-01 |
| Find all providers in zip 99654 | ||||
| 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 |
|---|---|---|---|---|
| 1063064863 | Alan Bartelli | Dentist | 1700 E Bogard Rd Ste 204, Wasilla, AK 99654-6563 | 2019-07-11 |
| 1255853388 | Brett Croft Kocherhans | Dentist | 1401 S Seward Meridian Pkwy Ste E, Wasilla, AK 99654-8312 | 2017-07-11 |
| 1104210129 | M Paige Dds & Jm Bressler Dds At Wasilla LLC | Dentist | 701 E Parks Hwy Ste 209, Wasilla, AK 99654 | 2015-03-27 |
| 1508198276 | Robert Wilfred Cassell | Dentist | 351 W. Swanson Ave, Suite 1, Wasilla, AK 99654 | 2010-02-05 |
| 1871722454 | Kimball Snyder | Dentist | 1700 E Bogard Rd Ste B204, Wasilla, AK 99654-6570 | 2009-07-05 |
| 1679726442 | Jesse George Hronkin | Dentist | 936 E Westpoint Dr, Wasilla, AK 99654-7137 | 2008-10-24 |
| 1710185848 | Stephen W Pratt | Dentist | 4501 E Snider Dr, Wasilla, AK 99654-7604 | 2007-07-10 |
| 1417177346 | Mat-su Dental Center, Inc. | Dentist | 951 Bogard Rd, Suite 203, Wasilla, AK 99654-7113 | 2007-04-25 |
| 1821137779 | Steven G. Gianopoulos | Dentist | 500 N. Main St, Suite G, Wasilla, AK 99654 | 2007-02-06 |
| 1831238450 | Kevin Hewett Cochran | Dentist | 110 E Swanson Ave, Wasilla, AK 99654-7024 | 2007-02-06 |
| Find all providers in WASILLA | ||||
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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.