Provider Demographics
NPI:1174632269
Name:NILE P. ERSLAND, DDS, PC
Entity Type:Organization
Organization Name:NILE P. ERSLAND, DDS, PC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:NILE
Authorized Official - Middle Name:P
Authorized Official - Last Name:ERSLAND
Authorized Official - Suffix:
Authorized Official - Credentials:DDS
Authorized Official - Phone:907-276-1621
Mailing Address - Street 1:2525 GAMBELL ST
Mailing Address - Street 2:SUITE 304-A
Mailing Address - City:ANCHORAGE
Mailing Address - State:AK
Mailing Address - Zip Code:99503-2827
Mailing Address - Country:US
Mailing Address - Phone:907-276-1621
Mailing Address - Fax:907-279-0562
Practice Address - Street 1:2525 GAMBELL ST
Practice Address - Street 2:SUITE 304-A
Practice Address - City:ANCHORAGE
Practice Address - State:AK
Practice Address - Zip Code:99503-2827
Practice Address - Country:US
Practice Address - Phone:907-276-1621
Practice Address - Fax:907-279-0562
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-08-30
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QD0000XAmbulatory Health Care FacilitiesClinic/CenterDental