Healthcare Provider Details

I. General information

NPI: 1548371958
Provider Name (Legal Business Name): ROBERT EUGENE MCALPINE D.M.D.
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 08/31/2006
Last Update Date: 07/30/2018
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

130 EAST CORRAL AVENUE
SOLDOTNA AK
99669
US

IV. Provider business mailing address

PO BOX 1610
SOLDOTNA AK
99669-1610
US

V. Phone/Fax

Practice location:
  • Phone: 907-260-5439
  • Fax: 907-260-5447
Mailing address:
  • Phone: 907-260-5439
  • Fax: 907-260-5447

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code122300000X
TaxonomyDentist
License Number1210
License Number StateAK
# 2
Primary TaxonomyY
Taxonomy Code1223P0221X
TaxonomyPediatric Dentistry
License Number1210
License Number StateAK

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: