MEDICARE: RICHARD WELLS MITTELSTADT DDS

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	1223G0001X	General Practice Dentistry	356	AK

General Provider Information

NPI Number	:	1326253311
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	RICHARD WELLS MITTELSTADT DDS

Provider Business Mailing Address
First Line	:	1840 W NORTHERN LIGHTS BLVD
Second Line	:
City	:	ANCHORAGE
State	:	AK
Zip	:	99517-3342
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	1840 W NORTHERN LIGHTS BLVD
Second Line	:
City	:	ANCHORAGE
State	:	AK
Zip	:	99517-3342
Country	:	US
Telephone Number	:	907-272-9214
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	05/11/2007
Last Update Date	:	07/08/2007

Similar Medicare Providers

1609857499 — DR. JULIE A REINKE OD
Practice Location Address:

1844 W NORTHERN LIGHTS BLVD , TURNAGAIN EYE CARE CLINIC
ANCHORAGE, AK
99517-3342

Practice Phone: 907-272-3937
Practice Fax: 907-272-6682

1518187210 — JACK B DUCLOS D.D.S, M.S.
Practice Location Address:

1836 W NORTHERN LIGHTS BLVD
ANCHORAGE, AK
99517-3342

Practice Phone: 907-272-3200
Practice Fax:

1518191345 — LUMINARY LLC
Practice Location Address:

1838 W NORTHERN LIGHTS BLVD
ANCHORAGE, AK
99517-3342

Practice Phone: 907-279-1838
Practice Fax: 907-279-1811

1063231488 — DUCLOS ORTHO ANCHORAGE
Practice Location Address:

1836 W NORTHERN LIGHTS BLVD
ANCHORAGE, AK
99517-3342

Practice Phone: 907-272-3200
Practice Fax: 907-272-3202

1114779543 — CHERYL'S PLACE ASSISTED LIVING LLC
Practice Location Address:

2420 FOXHALL DR
ANCHORAGE, AK
99504-3342

Practice Phone: 361-815-8824
Practice Fax:

1023975828 — MELE KN AUGAFA
Practice Location Address:

2931 CAPTAIN COOK ESTATES CIR
ANCHORAGE, AK
99517-1972

Practice Phone: 907-231-4156
Practice Fax:

Directions to “ RICHARD WELLS MITTELSTADT DDS” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2026 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.