Provider Demographics
NPI:1407038755
Name:HIGGINS, PETE B (DDS)
Entity Type:Individual
Prefix:DR
First Name:PETE
Middle Name:B
Last Name:HIGGINS
Suffix:
Gender:M
Credentials:DDS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3901 RASPBERRY RD
Mailing Address - Street 2:
Mailing Address - City:ANCHORAGE
Mailing Address - State:AK
Mailing Address - Zip Code:99502-1973
Mailing Address - Country:US
Mailing Address - Phone:907-258-3384
Mailing Address - Fax:
Practice Address - Street 1:3901 RASPBERRY RD
Practice Address - Street 2:
Practice Address - City:ANCHORAGE
Practice Address - State:AK
Practice Address - Zip Code:99502-1973
Practice Address - Country:US
Practice Address - Phone:907-258-3384
Practice Address - Fax:907-258-3390
Is Sole Proprietor?:No
Enumeration Date:2007-11-28
Last Update Date:2014-05-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AK1012122300000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes122300000XDental ProvidersDentist