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Mat-Su Dental Center, Inc.

General Practice Dentistry in Wasilla, AK · enumerated 2007 · authorized official Susanne Kennard, Ceo.

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

National Provider Identifier

1417177346

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Registry record

Entity type Organization (Type 2)
Legal business name Mat-Su Dental Center, Inc.
Practice address 951 Bogard Rd, Suite 203, Wasilla, AK, 99654
Fax (907) 376-2458
Enumeration date Apr 25, 2007
Last updated in NPPES Aug 22, 2020

Taxonomy & classification

1223G0001X General Practice Dentistry Dental Providers · License 285249 (AK) Primary

Authorized official

Name Susanne Kennard
Title Ceo

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

What is a Type 2 NPI?
A Type 2 NPI identifies an organization (group practice, hospital, pharmacy, lab), while Type 1 NPIs identify individual providers. Organizations bill under their Type 2 NPI.
What type of organization is Mat-Su Dental Center, Inc.?
Mat-Su Dental Center, Inc. is registered in NPPES as a General Practice Dentistry (its primary provider taxonomy).

Source: CMS NPPES (public data). Snapshot 2026-07-13. Provider record last updated 2020-08-22.