| Organization Name: | ENGHIRST CORPORATION |
| NPI Number: | 1154581718 |
| Entity Type Code: | Organizational (2) |
| Authorized Official Name: | BRYAN J ENGHIRST (DENTIST / OWNER / PRESIDENT) |
| Mailing Address: | 11431 Business Blvd # 5 Eagle River |
| State: | AK US |
| Postal Code: | 995777722 |
| Phone Number: | 9076962875 |
| Fax Number: | 9076962878 |
| NPI Enumeration Date: | 06/16/2008 |
| NPI Last Update Date: | 06/16/2008 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 261QD0000X |
| License Number: | 1146 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | AK |
| Taxonomy Type: | Ambulatory Health Care Facilities |
| Taxonomy Classification: | Clinic/Center |
| Taxonomy Specialization: | Dental |
| Taxonomy Definition: | |