Summit Oral Surgery LLC
NPI 1174709927 · Oral and Maxillofacial Surgery (Dentist) · Wasilla, AK
Enrolled with Medicare as Part B Supplier - Clinic/Group Practice · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Summit Oral Surgery LLC is a Oral and Maxillofacial Surgery (Dentist) organization in Wasilla, AK (NPI 1174709927).
Provider details
- NPI number
- 1174709927
- Entity type
- Organization
- Primary specialty
- Oral and Maxillofacial Surgery (Dentist)Dental Providers
- Organization subpart
- No
- Authorized official
- Matthew Welch, Member(907) 357-3414
- License
- 1159 (AK)
Specialties & taxonomies
Dental Providers
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
18 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
Mailing address
Registry dates
- Enumerated
- 2008-01-10
- Last updated
- 2008-01-10
Frequently asked questions
- What is Summit Oral Surgery LLC's NPI number?
- Summit Oral Surgery LLC's National Provider Identifier (NPI) is 1174709927, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Summit Oral Surgery LLC?
- Summit Oral Surgery LLC is classified in the NPPES registry as Oral and Maxillofacial Surgery (Dentist) (Dental Providers).
- Where is Summit Oral Surgery LLC located?
- Summit Oral Surgery LLC's practice location on file with NPPES is 1700 E Bogard Rd Ste B202, Wasilla, AK 99654-6570.
- What is Summit Oral Surgery LLC's phone number?
- The practice phone number listed in the NPPES registry for Summit Oral Surgery LLC is (907) 357-3414.
- Does Summit Oral Surgery LLC accept Medicare?
- Summit Oral Surgery LLC is approved to bill Medicare according to CMS PECOS enrollment data (2026.04.01). Confirm current participation with the provider before scheduling.
- Who is the authorized official for Summit Oral Surgery LLC?
- The authorized official listed on Summit Oral Surgery LLC's NPPES record is Matthew Welch, Member. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Summit Oral Surgery LLC's NPI active?
- Yes — Summit Oral Surgery LLC's NPI (1174709927) is active in the NPPES registry as of the last update on 2008-01-10.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.