Dr. Eric M Nordstrom
Dentist Oral & Maxillofacial Surgeon
2041 Tributary Cir
Anchorage
, Alaska 99516-7318
Dr. Eric M Nordstrom
Dentist Oral & Maxillofacial Surgeon
2041 Tributary Cir
Anchorage
, Alaska 99516-7318
(503) 545-9249
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About
Features
Specialties
- Dentist
- Oral & Maxillofacial Surgeon
Languages spoken
- English
Location
First Address
- Dr. Eric M Nordstrom
- 2041 Tributary Cir
- Anchorage, AK
- Zip : 99516-7318
- Phone : (503) 545-9249
Second Address
- Dr. Eric M Nordstrom
- 2041 Tributary Cir
- Anchorage, AK
- Zip : 99516-7318
- Phone : (503) 545-9249
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| N | 122300000X | Dentist | 1136 | AK |
| Y | 204E00000X | Oral & Maxillofacial Surgeon | MEDS7783 | AK |
National Provider Identifier
| NPI | 1316954670 |
|---|---|
| Provider Name | Dr. Eric M Nordstrom |
| First Address | Anchorage, AK 99516-7318 |
| Second Address | Anchorage, AK 99516-7318 |
| Gender | M |
| NPI Entity type | Individual |
| Is Sole Proprietor | Yes |
| Is Organization Subpart | N/A |
| Enumeration Date | 01/08/2006 |
| Last Update Date | 05/10/2015 |
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.