OrganizationActive
Mat-Su Dental Center, Inc.
NPI 1417177346 · General Practice Dentistry · Wasilla, AK
Mat-Su Dental Center, Inc. is a General Practice Dentistry organization in Wasilla, AK (NPI 1417177346).
Provider details
- NPI number
- 1417177346
- Entity type
- Organization
- Primary specialty
- General Practice DentistryDental Providers
- Organization subpart
- No
- Authorized official
- Susanne Kennard, Ceo(907) 376-2456
- License
- 285249 (AK)
Specialties & taxonomies
Dental Providers
Profile Score
Detailed profile(89/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
19 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
951 Bogard Rd
Suite 203
Wasilla, AK 99654-7113
Phone: (907) 376-2456
Fax: (907) 376-2458
Street-level locationGet directions
Mailing address
951 Bogard Rd
Wasilla, AK 99654-7113
Registry dates
- Enumerated
- 2007-04-25
- Last updated
- 2020-08-22
Frequently asked questions
- What is Mat-Su Dental Center, Inc.'s NPI number?
- Mat-Su Dental Center, Inc.'s National Provider Identifier (NPI) is 1417177346, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Mat-Su Dental Center, Inc.?
- Mat-Su Dental Center, Inc. is classified in the NPPES registry as General Practice Dentistry (Dental Providers).
- Where is Mat-Su Dental Center, Inc. located?
- Mat-Su Dental Center, Inc.'s practice location on file with NPPES is 951 Bogard Rd, Wasilla, AK 99654-7113.
- What is Mat-Su Dental Center, Inc.'s phone number?
- The practice phone number listed in the NPPES registry for Mat-Su Dental Center, Inc. is (907) 376-2456.
- Who is the authorized official for Mat-Su Dental Center, Inc.?
- The authorized official listed on Mat-Su Dental Center, Inc.'s NPPES record is Susanne Kennard, Ceo. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Mat-Su Dental Center, Inc.'s NPI active?
- Yes — Mat-Su Dental Center, Inc.'s NPI (1417177346) is active in the NPPES registry as of the last update on 2020-08-22.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.