Libby, Warren David

Libby, Warren David is an individual health care provider with primary practice located at 1000 Omalley Rd Suite 105, Anchorage AK 99515-3032. He recently has 2 registered licenses in different health care specialties including Dental Providers / General Practice, Dental Providers / Orthodontics and Dentofacial Orthopedics. Dental Providers / Orthodontics and Dentofacial Orthopedics is his primary health care specialty. Libby, Warren David can be contacted via phone (907) 349-1951.

Contact Information

Primary practice address
1000 Omalley Rd Suite 105 Anchorage AK 99515-3032
Phone: (907) 349-1951
Fax: (907) 349-5107
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Dental Providers / General Practice 1223G0001X 1180 Alaska
Dental Providers / Orthodontics and Dentofacial Orthopedics 1223X0400X 1180 Alaska

Profile Details

NPI number 1972553246
LBN Legal business name Libby, Warren David
Credentials DDS, MS
Entity Individual
Sole proprietor 1 No
Enumeration date May 10th, 2006
Last updated Oct 7th, 2011 - about 13 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 1972553246 NPPES
Alaska MEDICAID DD4125
Alaska Other 1760650

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