OrganizationActive
Summit Oral Surgery LLC
NPI 1174709927 · Oral and Maxillofacial Surgery (Dentist) · Wasilla, AK
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
Detailed profile(88/100 index)
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
1700 E Bogard Rd Ste B202
Wasilla, AK 99654-6570
Phone: (907) 357-3414
Fax: (907) 357-3714
Street-level locationGet directions
Mailing address
1700 E Bogard Rd Ste B202
Wasilla, AK 99654-6570
Registry dates
- Enumerated
- 2008-01-10
- Last updated
- 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.