Mrs. Amanda Shavings
Dental Public Health
829 Chief Eddie Hoffman Highway
Bethel
, Alaska 99559-0528
Mrs. Amanda Shavings
Dental Public Health
829 Chief Eddie Hoffman Highway
Bethel
, Alaska 99559-0528
(907) 827-8351
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About
Features
Specialties
- Dental Public Health
Languages spoken
- English
Location
First Address
- Mrs. Amanda Shavings
- Po Box 86
- Mekoryuk, AK
- Zip : 99630-0086
- Fax : (907) 827-8351
- Phone : (907) 827-2078
Second Address
- Mrs. Amanda Shavings
- 829 Chief Eddie Hoffman Highway
- Bethel, AK
- Zip : 99559-0528
- Fax : (907) 827-8351
- Phone : (907) 827-8111
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| Y | 1223D0001X | Dental Public Health | 11-082-PDHA1 | AK |
National Provider Identifier
| NPI | 1720356520 |
|---|---|
| Provider Name | Mrs. Amanda Shavings |
| First Address | Mekoryuk, AK 99630-0086 |
| Second Address | Bethel, AK 99559-0528 |
| Gender | F |
| NPI Entity type | Individual |
| Is Sole Proprietor | No |
| Is Organization Subpart | N/A |
| Enumeration Date | 07/12/2011 |
| Last Update Date | 07/12/2011 |
Additional Identifiers
| IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
|---|---|---|
| 11-082-PDHA1 | PDHA 1 CERTIFICATION NUMBER (01) | AK |
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.