| Organization Name: | ARCTIC SLOPE NATIVE ASSOCIATION |
| NPI Number: | 1528181971 |
| Entity Type Code: | Organizational (2) |
| Authorized Official Name: | AMANDA ASHLEY-GAYNOR (CLINICAL DIRECTOR OF DENTAL) |
| Mailing Address: | 1296 Agvik St Barrow |
| State: | AK US |
| Postal Code: | 99723 |
| Phone Number: | 9078524611 |
| Fax Number: | 9078529297 |
| NPI Enumeration Date: | 04/09/2007 |
| NPI Last Update Date: | 07/08/2007 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 261QD0000X |
| License Number: | DD1010 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | AK |
| Taxonomy Type: | Ambulatory Health Care Facilities |
| Taxonomy Classification: | Clinic/Center |
| Taxonomy Specialization: | Dental |
| Taxonomy Definition: | |