ANCHORAGE CAMAI DENTAL CLINIC, LLC (NPI# 1972150365) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1972150365 |
| Entity Type | Organization |
| Organization Name | ANCHORAGE CAMAI DENTAL CLINIC, LLC |
| Practice Address |
4361 Boniface Pkwy Anchorage AK 99504-4314 |
| Mailing Address |
3161 E Palmer Wasilla Hwy Ste 5 Wasilla AK 99654-7271 |
| Practice Telephone | 9073575214 |
| Mailing Telephone | 9073575214 |
| Enumeration Date | 2019-08-21 |
| Last Update Date | 2019-08-21 |
| Authorized Official Name | KELLY LUCAS (DENTIST/OWNER) |
| Authorized Official Telephone | 9073575214 |
| Authorized Official Credential | DDS |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QD0000X |
Clinic/Center Specialization: Dental |
Ambulatory Health Care Facilities |
| Street Address |
4361 BONIFACE PKWY |
| City | ANCHORAGE |
| State | AK |
| Zip Code | 99504-4314 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1104996214 | Family Medical Dental Center of Alaska Inc | Dentist | 4361 Boniface Pkwy, Anchorage, AK 99504-4316 | 2006-11-08 |
| 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 |
| 1417158080 | Clinton C Henrie | 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 | 261QD0000X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Dental |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1962011593 | Deyoung Dentistry, LLC | Clinic/Center | 2601 Boniface Parkway Suite 1, Anchorage, AK 99504 | 2020-07-29 |
| 1205461084 | Hawkinson Dental Inc | Clinic/Center | 6200 Lake Otis Pkwy Ste 101, Anchorage, AK 99507-2098 | 2020-03-11 |
| 1932664877 | Alaska Family Dental LLC | Clinic/Center | 405 W 36th Ave Ste 101, Anchorage, AK 99503-5872 | 2019-02-05 |
| 1659862134 | Evelyn Haley Dmd | Clinic/Center | 615 E 82nd Ave Ste 100, Anchorage, AK 99518-3100 | 2018-05-21 |
| 1154672558 | Mabry and Mabry Dentistry, LLC | Clinic/Center | 2601 Boniface Pkwy Ste 1, Anchorage, AK 99504-3144 | 2012-09-25 |
| 1912179094 | Warren Urda Dds | Clinic/Center | 237 E Fireweed Ln Ste 101, Anchorage, AK 99503-2000 | 2008-03-28 |
| 1649348723 | Huffman Family Dentistry LLC | Clinic/Center | 12350 Industry Way #210, Anchorage, AK 99515 | 2006-11-30 |
| 1568540946 | Pete B. Higgins Dds LLC | Clinic/Center | 3901 Raspberry Rd, Anchorage, AK 99502-1973 | 2006-11-01 |
| 1003415696 | Ryan, LLC | Clinic/Center | 1310 E Dimond Blvd Ste 3, Anchorage, AK 99515-2031 | 2020-10-23 |
| 1942865761 | Chugach Dental, LLC | Clinic/Center | 9138 Arlon St Ste B3, Anchorage, AK 99507-3876 | 2019-05-07 |
| Find all providers in ANCHORAGE | ||||
Please comment or provide details below to improve the information on ANCHORAGE CAMAI DENTAL CLINIC, LLC.
| 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.