DoctorDataHub
Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

SOUTHEAST DENTAL GROUP, PC

Active Organization

SOUTHEAST DENTAL GROUP, PC is a Dentist organization located in JUNEAU, Alaska. NPI 1780706838 is currently active in the NPPES registry. Verify at CMS.

Dentist · JUNEAU, AK

Registration Details

NPI Number
1780706838
Provider Type
Organization
NPI Issued
Apr 6, 2007 (19.366328461505 yrs)
Last Updated
Feb 4, 2014
Licenses
7435 (CO)
7113 (CO)
961 (AK)
963 (AK)

Practice Information

Address
2220 DUNN ST
JUNEAU, AK, 998011430
Browse AK providers · Browse ZIP 99801
Phone
9075869885
Fax
9075861849
Primary Specialty
Dentist
122300000X
Additional Specialty
Dentist
Additional Specialty
Oral & Maxillofacial Surgery
Additional Specialty
Dentist

Other Dentist Organizations in JUNEAU, AK

Data sourced from the NPPES National Provider Identifier registry. Healthcare organizations registered in NPPES are assigned an NPI number for use in insurance billing and claims. This information is for informational purposes only. For official verification, use the NPPES NPI Registry.