Overview
No Referral Sources
No Referral Destinations
Practice Locations 1 Same Address Same Phone
No Medical Groups
No Affl. Hospitals
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Primary Practice Address
4201 TUDOR CENTRE DR SUITE 320
ANCHORAGE, AK 99508-5904 US

John Etter, DDS

Dentist


John Etter, DDS

Overview

John Etter, DDS is a Dentist in the ANCHORAGE area. John Etter, DDS primary office location is at 4201 TUDOR CENTRE DR and new patients are welcome to contact this healthcare provider for an appointment. The NPI number is 1205855251 and the information was updated approximately 13 years ago.

We have not detected any Exclusions tied directly to this NPI.

Accepts Medicare Assignment: Unknown

Is sole proprietor: NO

Participates in PECOS: YES (See any PECOS details below)

Contact Information

Primary Practice Location Information
4201 TUDOR CENTRE DR SUITE 320
ANCHORAGE, AK 99508-5904 US
Phone: (907)-317-6070
Fax:
Practice Mailing Information
PO BOX 196320
ANCHORAGE, AK 99508-5904 US
Phone: (907)-317-6070
Fax: (806)-794-1919
License NumberState
TX16496TX
Type/IssuerIdentifierState
UNITED CONCORDIA972671-
DD30831AK
TaxonomyStatePrimary?
Dentist - Taxonomy Code 122300000X TXY

PECOS Details:

Participates in PECOS: YES
PECOS Individual Enrollment ID:
PECOS Individual PAC ID:
PECOS PART B Yes
PECOS DME Yes
PECOS HHA Yes
PECOS PMD -
;