Provider Demographics
NPI:1922430040
Name:MARCHANT, KENT ALAN (DMD)
Entity Type:Individual
Prefix:DR
First Name:KENT
Middle Name:ALAN
Last Name:MARCHANT
Suffix:
Gender:M
Credentials:DMD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1400 W BENSON BLVD
Mailing Address - Street 2:SUITE 150
Mailing Address - City:ANCHORAGE
Mailing Address - State:AK
Mailing Address - Zip Code:99503-3679
Mailing Address - Country:US
Mailing Address - Phone:907-276-4537
Mailing Address - Fax:
Practice Address - Street 1:1400 WEST BENSON BLVD.
Practice Address - Street 2:SUITE 150
Practice Address - City:ANCHORAGE
Practice Address - State:AK
Practice Address - Zip Code:99503
Practice Address - Country:US
Practice Address - Phone:907-276-4537
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2013-07-31
Last Update Date:2013-07-31
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AK1499122300000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes122300000XDental ProvidersDentist