OrganizationActive
South Anchorage Dental Clinic LLC
NPI 1568623106 · Dental Assistant · Anchorage, AK
Provider details
- NPI number
- 1568623106
- Entity type
- Organization
- Primary specialty
- Dental AssistantDental Providers
- Organization subpart
- No
- Authorized official
- Scott Hebertson, President(907) 248-7275
- License
- 1009 (AK)
Specialties & taxonomies
Dental Providers
Dental Providers
Profile Score
Detailed profile(87/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
17 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
9170 Jewel Lake Road
Suite 201
Anchorage, AK 99502
Phone: (907) 248-7275
Fax: (907) 248-7221
Street-level locationGet directions
Mailing address
9170 Jewel Lake Road
Anchorage, AK 99502
Registry dates
- Enumerated
- 2008-06-17
- Last updated
- 2008-06-17
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.