Provider Demographics
NPI:1295729234
Name:DENTON, SANDRA C (MD)
Entity type:Individual
Prefix:DR
First Name:SANDRA
Middle Name:C
Last Name:DENTON
Suffix:
Gender:F
Credentials:MD
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Mailing Address - Street 1:3333 DENALI ST
Mailing Address - Street 2:STE 100
Mailing Address - City:ANCHORAGE
Mailing Address - State:AK
Mailing Address - Zip Code:99503-4032
Mailing Address - Country:US
Mailing Address - Phone:907-563-6200
Mailing Address - Fax:907-561-4933
Practice Address - Street 1:3333 DENALI ST
Practice Address - Street 2:STE 100
Practice Address - City:ANCHORAGE
Practice Address - State:AK
Practice Address - Zip Code:99503-4032
Practice Address - Country:US
Practice Address - Phone:907-563-6200
Practice Address - Fax:907-561-4933
Is Sole Proprietor?:Not Answered
Enumeration Date:2005-09-06
Last Update Date:2007-07-08
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
AK2395207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
A14927Medicare UPIN