OrganizationActive
Aesthetic Dental Group LLC
NPI 1003539008 · Dental Clinic/Center · Wasilla, AK
Provider details
- NPI number
- 1003539008
- Entity type
- Organization
- Primary specialty
- Dental Clinic/CenterAmbulatory Health Care Facilities
- Organization subpart
- No
- Authorized official
- Amanda Harrison, Office Manager(907) 229-2228
Specialties & taxonomies
Ambulatory Health Care Facilities
Profile Score
Established profile(59/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
3 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
1551 W Parks Hwy
Wasilla, AK 99654-6933
Phone: (907) 357-6684
Street-level locationGet directions
Mailing address
10928 Eagle River Rd
Eagle River, AK 99577-8078
Other names (DBA / former)
- Doing business as
- Aesthetic Family Dentistry
Registry dates
- Enumerated
- 2022-09-23
- Last updated
- 2022-09-30
- Certified
- 2022-09-30
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.