Dental Innovations

LBN: Camai Dental Clinic Llc
Dental Innovations is an health care organization with primary practice located at 3161 E Palmer Wasilla Hwy Ste 5, Wasilla AK 99654-7271. The organization recently has only one registered license in Dental Providers / General Practice, which is considered as the primary health care specialty. Camai Dental Clinic Llc can be contacted via phone (907) 357-5214, or through Lucas, Kelly Wade via phone (907) 357-5214.

Contact Information

Primary practice address
3161 E Palmer Wasilla Hwy Ste 5 Wasilla AK 99654-7271
Phone: (907) 357-5214
Fax: (907) 357-5213
Website:
Map and Directions
Authorized official contact:
Name: Lucas, Kelly Wade Doctor of Dental Surgery (DDS)
Phone: (907) 357-5214

Health care specialties

SpecialtyCodeLicense #State
Dental Providers / General Practice 1223G0001X 673 Alaska

Profile Details

NPI number 1376089128
LBN Legal business name Camai Dental Clinic Llc
DBA Doing business as Dental Innovations
Authorized official Lucas, Kelly Wade Doctor of Dental Surgery (DDS)
Entity Organization
Organization subpart 1 No
Enumeration date Jan 17th, 2017
Last updated Jan 17th, 2017 - about 8 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 1376089128 NPPES
Alaska MEDICAID 1003119

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