Healthcare Provider Details

I. General information

NPI: 1982950044
Provider Name (Legal Business Name): ROBERT E. MCALPINE, D.M.D., P.C.
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 07/26/2012
Last Update Date: 07/26/2012
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

51101 POLARIS WAY
KENAI AK
99611
US

IV. Provider business mailing address

PO BOX 1610
SOLDOTNA AK
99669
US

V. Phone/Fax

Practice location:
  • Phone: 907-952-1306
  • Fax:
Mailing address:
  • Phone: 907-952-1306
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code261QD0000X
TaxonomyDental Clinic/Center
License Number1210
License Number StateAK

VIII. Authorized Official

Name: DR. ROBERT E MCALPINE
Title or Position: PRESIDENT
Credential: D.M.D.
Phone: 907-952-1306