OrganizationActive
Ketchikan Dental
NPI 1518720911 · General Practice Dentistry · Ketchikan, AK
Ketchikan Dental is a General Practice Dentistry organization in Ketchikan, AK (NPI 1518720911).
Provider details
- NPI number
- 1518720911
- Entity type
- Organization
- Primary specialty
- General Practice DentistryDental Providers
- Organization subpart
- No
- Authorized official
- Tanner Zylstra, Owner(909) 967-8052
Specialties & taxonomies
Dental Providers
Profile Score
Established profile(57/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
2 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
130 Carlanna Lake Rd
Ketchikan, AK 99901-5669
Phone: (909) 967-8052
Fax: (907) 331-4220
Street-level locationGet directions
Mailing address
130 Carlanna Lake Rd
Ketchikan, AK 99901-5669
Registry dates
- Enumerated
- 2024-01-30
- Last updated
- 2024-01-30
- Certified
- 2024-01-30
Frequently asked questions
- What is Ketchikan Dental's NPI number?
- Ketchikan Dental's National Provider Identifier (NPI) is 1518720911, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Ketchikan Dental?
- Ketchikan Dental is classified in the NPPES registry as General Practice Dentistry (Dental Providers).
- Where is Ketchikan Dental located?
- Ketchikan Dental's practice location on file with NPPES is 130 Carlanna Lake Rd, Ketchikan, AK 99901-5669.
- What is Ketchikan Dental's phone number?
- The practice phone number listed in the NPPES registry for Ketchikan Dental is (909) 967-8052.
- Who is the authorized official for Ketchikan Dental?
- The authorized official listed on Ketchikan Dental's NPPES record is Tanner Zylstra, Owner. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Ketchikan Dental's NPI active?
- Yes — Ketchikan Dental's NPI (1518720911) is active in the NPPES registry as of the last update on 2024-01-30.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.