OrganizationActive
Lakeview Professional Dental Associates Inc.
NPI 1720116601 · Dentist · Wasilla, AK
Provider details
- NPI number
- 1720116601
- Entity type
- Organization
- Primary specialty
- DentistDental Providers
- Organization subpart
- No
- Authorized official
- Jean Kingslien, Director Secretary Treasurer(907) 346-2625
- License
- 348 (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
851 Westpoint Dr
Suite 112
Wasilla, AK 99654-7142
Phone: (907) 376-4415
Fax: (907) 373-0589
Street-level locationGet directions
Mailing address
851 Westpoint Dr
Wasilla, AK 99654-7142
Registry dates
- Enumerated
- 2007-03-01
- Last updated
- 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.