MEDICARE: SMILES DENTAL ALASKA, LLC

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	D00009933	WA

General Provider Information

NPI Number	:	1649609439
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	SMILES DENTAL ALASKA, LLC

Provider Business Mailing Address
First Line	:	9138 ARLON ST STE B
Second Line	:
City	:	ANCHORAGE
State	:	AK
Zip	:	99507-3876
Country	:	US
Telephone Number	:	509-468-0490
Fax Number	:	509-468-1814

Provider Business Practice Location Address
First Line	:	9138 ARLON ST STE B
Second Line	:
City	:	ANCHORAGE
State	:	AK
Zip	:	99507-3876
Country	:	US
Telephone Number	:	360-636-1865
Fax Number	:	360-232-0109

Authorized Official
Title or Position	:	OWNER
Name	:	DR. STEPHEN TYLER SHOEMAKER
Credential	:	DMD
Telephone Number	:	509-468-0490

Provider Enumeration Date	:	11/02/2013
Last Update Date	:	11/04/2013

Similar Medicare Providers

1083098230 — KELLY LEACH
Practice Location Address:

9138 ARLON ST
ANCHORAGE, AK
99507-3876

Practice Phone: 907-222-2483
Practice Fax:

1952626863 — GHOSH PSYCHIATRIC SERVICES, LLC
Practice Location Address:

9138 ARLON ST , STE B6
ANCHORAGE, AK
99507-3876

Practice Phone: 907-301-0943
Practice Fax: 907-644-8099

1265725394 — ALASKA'S RIGHT 2 SLEEP LLC
Practice Location Address:

9138 ARLON ST , SUITE A1
ANCHORAGE, AK
99507-3876

Practice Phone: 713-778-1774
Practice Fax:

1295002798 — BAC CAPITAL MGT
Practice Location Address:

9138 ARLON ST
ANCHORAGE, AK
99507-3876

Practice Phone: 907-444-8350
Practice Fax:

1114387982 — SMILES DENTAL GROUP, PC
Practice Location Address:

9138 ARLON ST , SUITE B1
ANCHORAGE, AK
99507-3876

Practice Phone: 360-261-6094
Practice Fax: 360-423-3343

1659820728 — JONGGUON KIM DDS
Practice Location Address:

9138 ARLON ST STE B4
ANCHORAGE, AK
99507-3876

Practice Phone: 907-333-6666
Practice Fax:

Directions to “SMILES DENTAL ALASKA, LLC ” 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.