Provider Demographics
NPI:1700031358
Name:MICHAEL E. DARLING, DDS, LLC
Entity Type:Organization
Organization Name:MICHAEL E. DARLING, DDS, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:MICHAEL
Authorized Official - Middle Name:EUGENE
Authorized Official - Last Name:DARLING
Authorized Official - Suffix:
Authorized Official - Credentials:DDS
Authorized Official - Phone:907-274-2659
Mailing Address - Street 1:3920 LAKE OTIS PKWY
Mailing Address - Street 2:SUITE A
Mailing Address - City:ANCHORAGE
Mailing Address - State:AK
Mailing Address - Zip Code:99508-5210
Mailing Address - Country:US
Mailing Address - Phone:907-274-2659
Mailing Address - Fax:907-277-4782
Practice Address - Street 1:3920 LAKE OTIS PKWY
Practice Address - Street 2:SUITE A
Practice Address - City:ANCHORAGE
Practice Address - State:AK
Practice Address - Zip Code:99508-5210
Practice Address - Country:US
Practice Address - Phone:907-274-2659
Practice Address - Fax:907-277-4782
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2008-11-24
Last Update Date:2008-11-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AK3161223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes1223G0001XDental ProvidersDentistGeneral PracticeGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
AK700316OtherDELTA DENTAL
AK261896261896OtherBCBS
AKDD03161Medicaid