Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of October 4, 2026.

Petersburg Dental, Inc

Organization Dentist · NPI 1932543345

Petersburg Dental, Inc provides Dentist services in Petersburg, Alaska. Licensed in Alaska. Registered with an NPI since 2013.

Licensed in
AK
In the registry since
2013
What do these letters mean?
Inc — Incorporated
A form of business registration, not a clinical qualification.

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Practice location Address checks out

806 S Nordic Dr
Petersburg, AK 99833-0469 Not confirmed with CMS for 13 years — call before visiting
Phone: (907) 772-9246
Fax: (907) 772-9278
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Dentist (primary) Taxonomy 122300000X · Licence 1096 (AK)

Record details

NPI number1932543345
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Jay Lister — Dds/President · (907) 772-9246
NPI enumeratedApril 29, 2013
Last updated in NPPESApril 29, 2013
Mailing addressPo Box 469, Petersburg, AK 99833-0469