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Northern Dentistry Inc.

NPI 1487197463ActiveOrganization· Dentist· Wasilla, AK

Dentist in Wasilla, Alaska, registered in NPPES in November 2016. The authorized official on file is Charles R. Cordova Jr., DDS, President.

Overview

NPI1487197463
StatusActive
Entity typeOrganization
NPI issuedNov 23, 2016
Last updated in NPPESNov 23, 2016

Specialties and licenses

TaxonomyCodeLicenseState
Dentist Primary122300000X10026764AK

About license numbers in NPPES

Exclusion screening

ListResultDetails
HHS-OIG LEIE · Oct 9, 2026No matchChecked by NPI and by name + state
North Carolina Medicaid · Nov 10, 2026No match—
New York OMIG · Nov 10, 2026No match—
Ohio Medicaid · Nov 10, 2026No match—
Pennsylvania Medicheck · Nov 10, 2026No match—
Washington HCA · Nov 10, 2026No match—

Official OIG search · How matching works ·Bulk check a roster

Medicare

Enrollment (PECOS)Not in the public enrollment file of Oct 1, 2026

Medicare sources and data years

Other Dentist providers in Wasilla

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