Alaska Dental Group P.c.

NPI #1194875393 in Anchorage, Alaska

Provider Information

NPI Number: 1194875393
Entity Type: Organization
Organization Name: Alaska Dental Group P.c.
Primary Specialty: Dentist - General Practice
Enumeration Date: Jan 11, 2007
Last Updated: Aug 22, 2020

Practice Location

Address: 3340 PROVIDENCE DR STE 560
Address 2: PROVIDENCE MEDICAL OFFICE BLDG.
City: Anchorage
State: Alaska
ZIP Code: 99508-4643
Phone: (907) 562-6648

Authorized Official

Name: DR. MARK JAMES MCLEAN, D.M.D.
Title: OWNER
Phone: (907) 562-6648

Specialties & Taxonomy Codes

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

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