Frontier Dental, LLC

NPI #1164685806 in Anchorage, Alaska

Provider Information

NPI Number: 1164685806
Entity Type: Organization
Organization Name: Frontier Dental, LLC
Primary Specialty: Dentist - General Practice
Enumeration Date: Jul 2, 2008
Last Updated: Jul 8, 2008

Practice Location

Address: 3650 LAKE OTIS PKWY
Address 2: STE 102
City: Anchorage
State: Alaska
ZIP Code: 99508-5218
Phone: (907) 563-3820

Authorized Official

Name: DR. KEN OLDHAM III, D.M.D.
Title: DENTIST
Phone: (907) 563-5820

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Dentist - General Practice — General Practice	1223G0001X	Primary

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