IndividualActive
Amanda Bradley, DMD
NPI 1407571136 · General Practice Dentistry · Wasilla, AK
Provider details
- NPI number
- 1407571136
- Entity type
- Individual
- Primary specialty
- General Practice DentistryDental Providers
- Credential
- DMD
- Sex
- Female
- Sole proprietor
- Yes
- License
- 196841 (AK)
Specialties & taxonomies
Dental Providers
Dental Providers
Practice location
4641 E Frontier Plaza Dr
Wasilla, AK 99654
Phone: (907) 373-2227
Approximate (ZIP-level) locationGet directions
Mailing address
192 W Celtic Cir # 1
Wasilla, AK 99654-6431
Registry dates
- Enumerated
- 2022-10-05
- Last updated
- 2022-10-27
- Certified
- 2022-10-27
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.