South Anchorage Dental Clinic LLC
NPI 1568623106ActiveOrganization· Dental Assistant· Anchorage, AK
Dental Assistant in Anchorage, Alaska, registered in NPPES in June 2008. The authorized official on file is Scott Hebertson, DDS, President.
Overview
| NPI | 1568623106 |
|---|---|
| Status | Active |
| Entity type | Organization |
| NPI issued | Jun 17, 2008 |
| Last updated in NPPES | Jun 17, 2008 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Dental Assistant Primary | 126800000X | AA625 | AK |
| Dental Assistant | 126800000X | 1009 | AK |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Oct 9, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 10, 2026 | No match | — |
| New York OMIG · Nov 10, 2026 | No match | — |
| Ohio Medicaid · Nov 10, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 10, 2026 | No match | — |
| Washington HCA · Nov 10, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Not in the public enrollment file of Oct 1, 2026 |
|---|
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