South Anchorage Dental Center
NPI 1841580966ActiveOrganization· Preferred Provider Organization· Anchorage, AK
Preferred Provider Organization in Anchorage, Alaska, registered in NPPES in April 2011. The authorized official on file is Broc Wayne Brimhall, DMD, Dentist.
Overview
| NPI | 1841580966 |
|---|---|
| Status | Active |
| Entity type | Organization |
| NPI issued | Apr 11, 2011 |
| Last updated in NPPES | Apr 11, 2011 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Preferred Provider Organization Primary | 305R00000X | 1308 | AK |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Nov 10, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 11, 2026 | No match | — |
| New York OMIG · Nov 11, 2026 | No match | — |
| Ohio Medicaid · Nov 11, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 11, 2026 | No match | — |
| Washington HCA · Nov 11, 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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