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Pediatric Dentistry of Alaska

Dental Clinic/Center in Wasilla, AK · enumerated 2008 · authorized official Roger Beck, Owner/President.

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

National Provider Identifier

1568616548

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Registry record

Entity type Organization (Type 2)
Legal business name Pediatric Dentistry of Alaska
Other name <Unavail>
Practice address 3470 E Meridian Park Loop, Wasilla, AK, 99654
Phone (907) 373-8684
Fax (907) 373-8465
Enumeration date Nov 4, 2008
Last updated in NPPES Sep 12, 2018

Taxonomy & classification

1223P0221X Pediatric Dentistry Dental Providers · License 924 (AK) Secondary
261QD0000X Dental Clinic/Center Ambulatory Health Care Facilities · License 924 (AK) Primary

Authorized official

Name Roger Beck
Title Owner/President
Phone (907) 373-8684

Other identifiers

Identifier Type State Issuer
1583802 Medicaid AK -
1003811 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 Pediatric Dentistry of Alaska located?
The practice location on file with NPPES is in Wasilla, AK.
How current is this record?
Data comes from the CMS NPPES public dissemination file; this record was last updated in NPPES on 2018-09-12. Verify at npiregistry.cms.hhs.gov.

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Source: CMS NPPES (public data). Snapshot 2026-07-13. Provider record last updated 2018-09-12.