Foothills Dentistry Alaska, Llc

LBN: Foothills Dentistry Alaska, Llc
Foothills Dentistry Alaska, Llc is an health care organization with primary practice located at 4001 Lake Otis Pkwy Suite 100, Anchorage AK 99508-5200. The organization recently has only one registered license in Dental Providers / Dentist, which is considered as the primary health care specialty. Foothills Dentistry Alaska, Llc can be contacted via phone (907) 280-9585, or through Wortham, Franklin T via phone (907) 280-9585.

Contact Information

Primary practice address
4001 Lake Otis Pkwy Suite 100 Anchorage AK 99508-5200
Phone: (907) 280-9585
Fax:
Website:
Map and Directions
Authorized official contact:
Name: Wortham, Franklin T
Phone: (907) 280-9585

Health care specialties

SpecialtyCodeLicense #State
Dental Providers / Dentist 122300000X 1024 Alaska

Profile Details

NPI number 1639416001
LBN Legal business name Foothills Dentistry Alaska, Llc
DBA Doing business as
Authorized official Wortham, Franklin T
Entity Organization
Organization subpart 1 No
Enumeration date Jan 5th, 2013
Last updated Oct 17th, 2016 - about 9 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 1639416001 NPPES
Alaska MEDICAID 1582133

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