OrganizationActive
Bore Tide Services, LLC
NPI 1831411826 · Physician Assistant · Chugiak, AK
Provider details
- NPI number
- 1831411826
- Entity type
- Organization
- Primary specialty
- Physician AssistantPhysician Assistants & Advanced Practice Nursing Providers
- Authorized official
- Dennis Serie, Physician Assistant
- License
- 633 (AK)
Practice location
22742 Oberg Rd
Chugiak, AK 99567-5495
Phone: (907) 854-8452
Fax: (907) 222-4641
Mailing address
Po Box 220685
Anchorage, AK 99522-0685
Registry dates
- Enumerated
- 2010-02-18
- Last updated
- 2010-02-18
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.