MEDICARE: MICHAEL E. DARLING, DDS, 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	316	AK

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	700316	OTHER	AK	DELTA DENTAL
2	261896261896	OTHER	AK	BCBS
3	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1700031358
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	MICHAEL E. DARLING, DDS, LLC

Provider Business Mailing Address
First Line	:	3920 LAKE OTIS PKWY
Second Line	:	SUITE A
City	:	ANCHORAGE
State	:	AK
Zip	:	99508-5210
Country	:	US
Telephone Number	:	907-274-2659
Fax Number	:	907-277-4782

Provider Business Practice Location Address
First Line	:	3920 LAKE OTIS PKWY
Second Line	:	SUITE A
City	:	ANCHORAGE
State	:	AK
Zip	:	99508-5210
Country	:	US
Telephone Number	:	907-274-2659
Fax Number	:	907-277-4782

Authorized Official
Title or Position	:	OWNER
Name	:	MICHAEL EUGENE DARLING
Credential	:	DDS
Telephone Number	:	907-274-2659

Provider Enumeration Date	:	11/24/2008
Last Update Date	:	11/24/2008

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