Healthcare Provider Details

I. General information

NPI: 1053460212
Provider Name (Legal Business Name): ELIZABETH M HEVIA-WRIGHT D.M.D
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 01/09/2007
Last Update Date: 08/06/2026
Certification Date: 08/06/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

4441 DIPLOMACY DR
ANCHORAGE AK
99508-5910
US

IV. Provider business mailing address

4441 DIPLOMACY DR
ANCHORAGE AK
99508-5910
US

V. Phone/Fax

Practice location:
  • Phone: 907-729-2000
  • Fax:
Mailing address:
  • Phone: 907-729-2000
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code122300000X
TaxonomyDentist
License Number63275
License Number StateCA
# 2
Primary TaxonomyN
Taxonomy Code122300000X
TaxonomyDentist
License Number3152
License Number StatePR
# 3
Primary TaxonomyN
Taxonomy Code122300000X
TaxonomyDentist
License Number223645
License Number StateAK
# 4
Primary TaxonomyY
Taxonomy Code122300000X
TaxonomyDentist
License NumberDN16361
License Number StateFL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: