Libby, Stephen

Libby, Stephen is an individual health care provider with primary practice located at 322 Muldoon Rd Suite C, Anchorage AK 99504-1504. He recently has only one registered license in Dental Providers / General Practice, which is considered as his primary health care specialty. Libby, Stephen can be contacted via phone (907) 337-9434.

Contact Information

Primary practice address
322 Muldoon Rd Suite C Anchorage AK 99504-1504
Phone: (907) 337-9434
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Dental Providers / General Practice 1223G0001X 0582 Alaska

Profile Details

NPI number 1841266541
LBN Legal business name Libby, Stephen
Credentials Doctor of Dental Surgery (DDS)
Entity Individual
Sole proprietor 1 No
Enumeration date Feb 23rd, 2006
Last updated Jul 9th, 2007 - about 17 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1841266541 NPPES
Alaska Other 782923 TRICARE DENTAL PROGRAM
Alaska MEDICAID DD0582 TRICARE DENTAL PROGRAM

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