Smiles Dental Group, PC

NPI #1114387982 in Anchorage, Alaska

Provider Information

NPI Number: 1114387982
Entity Type: Organization
Organization Name: Smiles Dental Group, PC
Primary Specialty: Dentist - General Practice
Enumeration Date: Mar 7, 2016
Last Updated: Mar 7, 2016

Practice Location

Address: 9138 ARLON ST
Address 2: SUITE B1
City: Anchorage
State: Alaska
ZIP Code: 99507-3876
Phone: (360) 261-6094

Authorized Official

Name: DR. STEPHEN TYLER SHOEMAKER, D.M.D.
Title: CHIEF DENTAL OFFICER
Phone: (360) 261-6094

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Dentist	122300000X
Dentist - Dental Anesthesiology — Dental Anesthesiology	1223D0004X
Dentist - Endodontics — Endodontics	1223E0200X
Dentist - Periodontics — Periodontics	1223P0300X
Dentist - Prosthodontics — Prosthodontics	1223P0700X
Dentist - Orthodontics and Dentofacial Orthopedics — Orthodontics and Dentofacial Orthopedics	1223X0400X
Denturist	122400000X
Dental Hygienist	124Q00000X
Dental Assistant	126800000X
Dentist - General Practice — General Practice	1223G0001X	Primary

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