Brandy Tristan
Dental Hygienist
Bldg 3406 Troop Dental Clinic
FtWainwright
, Alaska 99703
Brandy Tristan
Dental Hygienist
Bldg 3406 Troop Dental Clinic
FtWainwright
, Alaska 99703
(907) 353-2917
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About
Features
Specialties
- Dental Hygienist
Languages spoken
- English
Location
First Address
- Brandy Tristan
- Bldg 3406 Troop Dental Clinic
- Ft. Wainwright, AK
- Zip : 99703
- Phone : (907) 353-2917
Second Address
- Brandy Tristan
- Bldg 3406 Troop Dental Clinic
- Ft. Wainwright, AK
- Zip : 99703
- Phone : (907) 353-2917
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| Y | 124Q00000X | Dental Hygienist | DH-3054 | ID |
National Provider Identifier
| NPI | 1003268657 |
|---|---|
| Provider Name | Brandy Tristan |
| First Address | Ft. Wainwright, AK 99703 |
| Second Address | Ft. Wainwright, AK 99703 |
| Gender | F |
| NPI Entity type | Individual |
| Is Sole Proprietor | No |
| Is Organization Subpart | N/A |
| Enumeration Date | 07/07/2016 |
| Last Update Date | 07/07/2016 |
NPI Footnotes
What is the National Provider Identifier (NPI)
Provider Location Address
Provider Mailing Address
Entity Type Code
1= Person: individual human being who furnishes health care;
2= Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)
What is a Subpart?
Provider Other Organization Name
1 = former name;
2 = professional name;
3 = doinq business as (d/b/ a) name;
4 = former legal business name;
5 = other.