IndividualActive
Tara Dillow
NPI 1548809379 · Dental Assistant · Eielson Afb, AK
Provider details
- NPI number
- 1548809379
- Entity type
- Individual
- Primary specialty
- Dental AssistantDental Providers
- Sex
- Female
- Sole proprietor
- No
Specialties & taxonomies
Dental Providers
Practice location
354th Mdos/Sgod
2630 Central Ave Ste 1m07
Eielson Afb, AK 99702-2397
Phone: (907) 377-6767
Approximate (ZIP-level) locationGet directions
Mailing address
354th Mdos/Sgod
Eielson Afb, AK 99702-2397
Registry dates
- Enumerated
- 2019-12-26
- Last updated
- 2019-12-26
- Certified
- 2019-12-26
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.