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Southeast Dental Group, PC

Dentist in Juneau, AK · enumerated 2007 · authorized official Kristen Schultz, Dentist Vice President.

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

National Provider Identifier

1780706838

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Registry record

Entity type Organization (Type 2)
Legal business name Southeast Dental Group, PC
Practice address 2220 Dunn St, Juneau, AK, 99801
Phone (907) 586-9885
Fax (907) 586-1849
Enumeration date Apr 6, 2007
Last updated in NPPES Feb 4, 2014

Taxonomy & classification

122300000X Dentist Dental Providers · License 963 (AK) Primary
122300000X Dentist Dental Providers · License 7435 (CO) Secondary
122300000X Dentist Dental Providers · License 7113 (CO) Secondary
1223S0112X Oral and Maxillofacial Surgery (Dentist) Dental Providers · License 961 (AK) Secondary

Authorized official

Name Kristen Schultz
Title Dentist Vice President
Phone (907) 586-9885

Other identifiers

Identifier Type State Issuer
DDO961 Medicaid AK -
963 Other AK STATE OF ALASKA

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 Southeast Dental Group, PC?
Southeast Dental Group, PC is registered in NPPES as a Dentist (its primary provider taxonomy).

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Source: CMS NPPES (public data). Snapshot 2026-07-13. Provider record last updated 2014-02-04.