Most Relevant Information
Provider Data
| NPI Number: | 1003269408 |
| Provider Name: | JUSTIN ERICKSON DDS |
| Entity Type: | Individual |
| Taxonomy Code: | 122300000X |
| Specialty: | Dentist |
| License Number: | 60653265 |
Most Important Dates
| Enumeration Date: | 07/20/2016 |
| Last Updated: | 07/20/2016 |
Provider Practice Location
4001 LAKE OTIS PKWY
#200
ANCHORAGE
AK
995085200
Practice Location Phone/Fax
| Phone: | 9072220400 |
| Fax: |
Provider Mailing Location
4001 LAKE OTIS PKWY
#200
ANCHORAGE
AK
995085200
Provider Mailing Phone/Fax
| Phone: | 9072220400 |
| Fax: |