OrganizationActive
Northern Dentistry Inc.
NPI 1487197463 · Dentist · Wasilla, AK
Provider details
- NPI number
- 1487197463
- Entity type
- Organization
- Primary specialty
- DentistDental Providers
- Organization subpart
- No
- Authorized official
- Charles Cordova Jr., President(702) 869-4435
- License
- 10026764 (AK)
Specialties & taxonomies
Dental Providers
Profile Score
Established profile(71/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
9 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 E Bogard Rd
Ste. #203
Wasilla, AK 99654-7175
Phone: (907) 376-2456
Fax: (907) 376-2458
Street-level locationGet directions
Mailing address
951 E Bogard Rd
Wasilla, AK 99654-7175
Registry dates
- Enumerated
- 2016-11-23
- Last updated
- 2016-11-23
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.