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

South Anchorage Dental Clinic LLC

Organization Dental Assistant · NPI 1568623106

South Anchorage Dental Clinic LLC provides Dental Assistant services in Anchorage, Alaska. Licensed in Alaska. Registered with an NPI since 2008.

Licensed in
AK
In the registry since
2008
Specialties on file
2
What do these letters mean?
LLC — Limited liability company
A form of business registration, not a clinical qualification.

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Practice location Address checks out

9170 Jewel Lake Rd Ste 201
Anchorage, AK 99502 Not confirmed with CMS for 18 years — call before visiting
Phone: (907) 248-7275
Fax: (907) 248-7221
Show map & directions

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

Specialties & licences

Dental Assistant (primary) Taxonomy 126800000X · Licence AA625 (AK)
Dental Assistant Taxonomy 126800000X · Licence 1009 (AK)

Record details

NPI number1568623106
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Scott Hebertson — President · (907) 248-7275
NPI enumeratedJune 17, 2008
Last updated in NPPESJune 17, 2008
Mailing address9170 Jewel Lake Road, Suite 201, Anchorage, AK 99502

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