MEDICARE: MOUNTAIN VIEW FAMILY DENISTRY

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	122300000X	Dentist	1013	AK

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1811122906
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	MOUNTAIN VIEW FAMILY DENISTRY

Provider Business Mailing Address
First Line	:	3523 MOUNTAIN VIEW DR
Second Line	:
City	:	ANCHORAGE
State	:	AK
Zip	:	99508-1111
Country	:	US
Telephone Number	:	907-277-0277
Fax Number	:	907-277-0288

Provider Business Practice Location Address
First Line	:	3523 MOUNTAIN VIEW DR
Second Line	:
City	:	ANCHORAGE
State	:	AK
Zip	:	99508-1111
Country	:	US
Telephone Number	:	907-277-0277
Fax Number	:	907-277-0288

Authorized Official
Title or Position	:	OWNER/DOCTOR
Name	:	DR. FREDRICK W KUNZ
Credential	:	DDS
Telephone Number	:	907-277-0277

Provider Enumeration Date	:	05/19/2009
Last Update Date	:	05/19/2009

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Directions to “MOUNTAIN VIEW FAMILY DENISTRY ” Practice Location

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