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Dr. Amanda Paige Bradley , DMD

Dentist - General Practice β€’ Wasilla, AK

Active NPI 1407571136 Individual Practitioner Female Practitioner
Practice location in NPPES

4641 E Frontier Plaza Dr
Wasilla, AK 99654

Call 9073732227 Location details and other listings
Medical Disclaimer

This profile restates public CMS/NPPES data; T-MedInfo gives no medical advice — consult a licensed professional, and call 911 for emergencies.

Practice Location & Contact Primary Location

Practice Address

4641 E Frontier Plaza Dr

Wasilla, AK 99654

Telephone 9073732227
Organization at the Same NPPES Address or Phone
Mann Family Dental, Llc Facility NPI 1790205763

Matched by practice address or phone in NPPES. A shared address or phone does not confirm that this clinician works there.

Industry payments (Open Payments)

No Open Payments records are listed for this clinician for 2019–2025.

Guide: How to read an Open Payments record

NPI first issued

2022

The year this clinician's National Provider Identifier (NPI) was issued. An NPI is a unique 10-digit ID that US health care providers use for billing.

What this does not show: NPI first issued

NPIs have been issued only since 2005, so this year is not necessarily when the clinician started practicing.

Source: CMS NPPES NPI Registry.

Medicare assignment not listed

CMS data do not show whether this clinician accepts Medicare assignment. This does not mean they do not accept Medicare. Ask the office.

Medicare assignment applies to Original Medicare. It does not tell you whether the clinician is in a Medicare Advantage plan's network, accepts other insurance, or is taking new patients.

Source: CMS Doctors and Clinicians; Medicare.gov, β€œDoes your provider accept Medicare as full payment?”

Guide: What Medicare assignment means

No telehealth indicator

CMS shows this indicator only when recent Medicare claims include telehealth services. The clinician may still offer telehealth; ask the office.

Source: CMS, Telehealth Indicator on Medicare Care Compare (fact sheet, January 2023); CMS Doctors and Clinicians.

Guide: How Medicare covers telehealth

Compared with the same specialty in Wasilla and Alaska

23 active clinicians are listed under Dentist - General Practice with a practice address in Wasilla, AK (328 in Alaska).

Addresses are self-reported to NPPES and may be out of date.

Telehealth indicator in Wasilla

0% of these 23 clinicians have the CMS telehealth indicator.

0% of these 23 clinicians are listed by CMS as accepting Medicare assignment.

Sources: CMS Doctors and Clinicians, CMS NPPES NPI Registry. Specialty names follow the NUCC Health Care Provider Taxonomy.

Text: T-MedInfo Β· Report an error.

Specialties & License Numbers Reported to NPPES

Self-certified to NPPES: 2022-10-27
Dentist - General Practice Primary Specialty

NUCC Taxonomy Code: 1223G0001X

License # reported to NPPES AK 196841

A general dentist is the primary dental care provider for patients of all ages. The general dentist is responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs.

Dentist

NUCC Taxonomy Code: 122300000X

License # reported to NPPES AK 196841

A dentist is a person qualified by a doctorate in dental surgery (D.D.S.) or dental medicine (D.M.D.), licensed by the state to practice dentistry, and practicing within the scope of that license. There is no difference between the two degrees: dentists who have a DMD or DDS have the same education. Universities have the prerogative to determine what degree is awarded. Both degrees use the same curriculum requirements set by the American Dental Association's Commission on Dental Accreditation. Generally, three or more years of undergraduate education plus four years of dental school is required to graduate and become a general dentist. State licensing boards accept either degree as equivalent, and both degrees allow licensed individuals to practice the same scope of general dentistry. Additional post-graduate training is required to become a dental specialist.

Check License Status with the State Board License numbers are self-reported to NPPES; T-MedInfo does not confirm them against state records. Current status: Alaska State Medical Licensing Board.
Look Up on State Board Site

Additional State Medicaid & Healthcare Payer Identifiers

Medicaid ID
1733188 (AK)

Clinicians Sharing This Practice Address or Phone

Clinicians sharing this NPPES address, phone or fax; a shared contact does not mean they work together.

1 listed
Dr. Tyler Mann , DDS

Dentist - General Practice

NPI 1942318738

Doctor of Dental Surgery

Career & Practice History Timeline

Changes recorded in monthly NPPES data files: addresses, names, credentials, specialties and NPI status

7 Historical Events
πŸ“
Updated Practice Location October 27, 2022

Registered at 4641 E FRONTIER PLAZA DR, WASILLA, AK 99654 (Tel: 9073732227)

βœ…
NPI Profile Active October 05, 2022

NPI status registered as active in NPPES database

πŸ“
Practice Location (Initial Record) October 05, 2022

Registered at 3341 E PALMDALE DR # 1, WASILLA, AK 996546044 (Tel: 9073732227)

πŸ“
Business Mailing Address (Initial Record) October 05, 2022

Registered at 192 W CELTIC CIR # 1, WASILLA, AK 996546431 (Tel: 7025106683)

πŸ‘€
Provider Name / Credentials (Initial Record) October 05, 2022

Recorded as AMANDA BRADLEY, DMD

πŸŽ“
Medical Taxonomy / Specialty Registered (Primary Specialty) October 05, 2022

Dentist (license number reported to NPPES: AK 196841)

🟒
Initial NPI Registration & Enumeration October 05, 2022

First registered as active Individual Practitioner in NPPES Database.

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NPI Administrative Meta

NPI Number: 1407571136
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: October 05, 2022
Last Update: October 27, 2022
Sole Proprietor: Yes

Other Dentist - General Practices in Wasilla

Healthcare providers in Wasilla

Mailing Address

192 W Celtic Cir # 1

Wasilla, AK 996546431

Phone: 7025106683

About This Data NPPES fields (address, phone, specialty, license) are self-reported and may be outdated; Medicare fields follow the CMS dataset named in each section. Correct directly at NPPES.