Michael Sanders Dmd Pc

LBN: Eagle Summit Dental Group
Michael Sanders Dmd Pc is an health care organization with primary practice located at 13015 Old Glenn Hwy #200, Eagle River AK 99577. The organization recently has only one registered license in Dental Providers / Dentist, which is considered as the primary health care specialty. Eagle Summit Dental Group can be contacted via phone (907) 694-8234, or through Sanders, Michael Roland via phone (907) 694-8234.

Contact Information

Primary practice address
13015 Old Glenn Hwy #200 Eagle River AK 99577
Phone: (907) 694-8234
Fax: (907) 697-8225
Website:
Map and Directions
Authorized official contact:
Name: Sanders, Michael Roland Doctor of Dental Medicine (DMD)
Phone: (907) 694-8234

Health care specialties

SpecialtyCodeLicense #State
Dental Providers / Dentist 122300000X 1086 Alaska

Profile Details

NPI number 1629214705
LBN Legal business name Eagle Summit Dental Group
DBA Doing business as Michael Sanders Dmd Pc
Authorized official Sanders, Michael Roland Doctor of Dental Medicine (DMD)
Entity Organization
Organization subpart 1 No
Enumeration date Dec 19th, 2008
Last updated Nov 25th, 2014 - about 11 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1629214705 NPPES
Alaska Other 1086 STATE LICENSE

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