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Glacier Dental, LLC

Dental Clinic/Center in Anchorage, AK · enumerated 2009 · authorized official Joshua Jeon, Ceo.

Data current as of Jul 13, 2026 · sourced from CMS NPPES

National Provider Identifier

1093042194

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Registry record

Entity type Organization (Type 2)
Legal business name Glacier Dental, LLC
Other name <Unavail>
Practice address 2421 E Tudor Rd, Suite 101, Anchorage, AK, 99507
Phone (907) 222-6000
Fax (907) 333-3390
Enumeration date Nov 10, 2009
Last updated in NPPES Jan 11, 2022

Taxonomy & classification

1223G0001X General Practice Dentistry Dental Providers · License 1239 (AK) Secondary
261QD0000X Dental Clinic/Center Ambulatory Health Care Facilities Primary

Authorized official

Name Joshua Jeon
Title Ceo
Phone (907) 222-6000

Other identifiers

Identifier Type State Issuer
DD2134 Medicaid AK -

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit number that CMS assigns to every U.S. healthcare provider and organization under HIPAA. Type 1 NPIs identify individual providers; Type 2 NPIs identify organizations. The NPI appears on insurance claims, prescriptions, and credentialing paperwork, and never changes, even if the provider moves or changes specialty.

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Frequently asked questions

Where is Glacier Dental, LLC located?
The practice location on file with NPPES is in Anchorage, AK.
How current is this record?
Data comes from the CMS NPPES public dissemination file; this record was last updated in NPPES on 2022-01-11. Verify at npiregistry.cms.hhs.gov.

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Source: CMS NPPES (public data). Snapshot 2026-07-13. Provider record last updated 2022-01-11.