Provider Demographics
NPI:1437333804
Name:ENGLISH, MARIE J (DDS, MS)
Entity Type:Individual
Prefix:DR
First Name:MARIE
Middle Name:J
Last Name:ENGLISH
Suffix:
Gender:F
Credentials:DDS, MS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:625 E 34TH AVE STE 302
Mailing Address - Street 2:
Mailing Address - City:ANCHORAGE
Mailing Address - State:AK
Mailing Address - Zip Code:99503-4154
Mailing Address - Country:US
Mailing Address - Phone:907-272-1144
Mailing Address - Fax:907-272-1178
Practice Address - Street 1:625 E 34TH AVE STE 302
Practice Address - Street 2:
Practice Address - City:ANCHORAGE
Practice Address - State:AK
Practice Address - Zip Code:99503-4154
Practice Address - Country:US
Practice Address - Phone:907-272-1144
Practice Address - Fax:907-272-1178
Is Sole Proprietor?:Yes
Enumeration Date:2007-12-20
Last Update Date:2007-12-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AK2811071223P0221X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223P0221XDental ProvidersDentistPediatric Dentistry
Provider Identifiers
StateIdentifier IDID TypeIssuer
AKDD10694Medicaid
AK1881812824OtherNPI ORGANIZATION