Healthcare Provider Details

I. General information

NPI: 1366354946
Provider Name (Legal Business Name): GLACIER ACUPUNCTURE LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 09/19/2026
Last Update Date: 09/24/2026
Certification Date: 09/24/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

220 PARK WAY
NORTH POLE AK
99705-6075
US

IV. Provider business mailing address

PO BOX 82231
FAIRBANKS AK
99708-2231
US

V. Phone/Fax

Practice location:
  • Phone: 907-987-1560
  • Fax: 907-885-0013
Mailing address:
  • Phone: 907-987-1560
  • Fax: 907-885-0013

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code171100000X
TaxonomyAcupuncturist
License Number
License Number State

VIII. Authorized Official

Name: DR. DENA G JOYCE
Title or Position: OWNER
Credential: DACM, L.AC.
Phone: 907-987-1560