OrganizationActive
Preventive Dental Services, a Professional Corporation
NPI 1922341734 · Dentist · Homer, AK
Preventive Dental Services, a Professional Corporation is a Dentist organization in Homer, AK (NPI 1922341734).
Provider details
- NPI number
- 1922341734
- Entity type
- Organization
- Primary specialty
- DentistDental Providers
- Organization subpart
- No
- Authorized official
- Susan Polis, Dentist(907) 235-1286
Specialties & taxonomies
Dental Providers
Profile Score
Detailed profile(78/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
13 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
549 Grubstake Ave
Suite #a
Homer, AK 99603-7640
Phone: (907) 235-1286
Fax: (907) 235-1263
Street-level locationGet directions
Mailing address
549 Grubstake Ave
Homer, AK 99603-7640
Registry dates
- Enumerated
- 2013-03-29
- Last updated
- 2013-03-29
Frequently asked questions
- What is Preventive Dental Services, a Professional Corporation's NPI number?
- Preventive Dental Services, a Professional Corporation's National Provider Identifier (NPI) is 1922341734, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Preventive Dental Services, a Professional Corporation?
- Preventive Dental Services, a Professional Corporation is classified in the NPPES registry as Dentist (Dental Providers).
- Where is Preventive Dental Services, a Professional Corporation located?
- Preventive Dental Services, a Professional Corporation's practice location on file with NPPES is 549 Grubstake Ave, Homer, AK 99603-7640.
- What is Preventive Dental Services, a Professional Corporation's phone number?
- The practice phone number listed in the NPPES registry for Preventive Dental Services, a Professional Corporation is (907) 235-1286.
- Who is the authorized official for Preventive Dental Services, a Professional Corporation?
- The authorized official listed on Preventive Dental Services, a Professional Corporation's NPPES record is Susan Polis, Dentist. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Preventive Dental Services, a Professional Corporation's NPI active?
- Yes — Preventive Dental Services, a Professional Corporation's NPI (1922341734) is active in the NPPES registry as of the last update on 2013-03-29.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.