ALASKA ORAL SURGERY GROUP, P.C. — NPI 1689810707 (Licensed Doctor of Dental Surgery (DDS) / Doctor of Medicine in Dentistry (DMD) in EAGLE RIVER, AK)

CMS-1500 Box 24J / 33a • NPI

1689810707

Type 2 Organization (Box 32a/33a)

HIPAA NUCC Taxonomy • CMS Code

1223S0112X (CMS 19)

Licensed Doctor of Dental Surgery (DDS) / Doctor of Medicine in Dentistry (DMD)

Box 32 Service Location & ZIP+4

12641 OLD GLENN HWY SUITE #103, EAGLE RIVER, AK, 99577

Official NPPES Practice Location

Practice Phone & Referral Fax

(907) 726-1726

Fax: (907) 726-1727

✓ HHS OIG LEIE Sanction Screening — VERIFIED CLEAR: NPI 1689810707 (ALASKA ORAL SURGERY GROUP, P.C.) has 0 active federal exclusions across all 84,224 HHS OIG LEIE sanction records (Database Verified: 2026-11-11).

CMS Medicare Order & Referring PECOS Eligibility

Institutional Type-2 NPI facilities enroll via CMS-855A institutional provider agreements rather than individual Order & Referring PECOS.

Official CMS NPPES Credential & Practice Profile

10-Digit NPI Number	`1689810707` (NPI-2 Organization / Facility)
Provider / Legal Name	ALASKA ORAL SURGERY GROUP, P.C.
Plain-English Specialty	Licensed Doctor of Dental Surgery (DDS) / Doctor of Medicine in Dentistry (DMD) NUCC Code: `1223S0112X` (Dentist, Oral and Maxillofacial Surgery)
Certifying / Licensing Body	American Dental Association (ADA) / State Board of Dental Examiners
Practice Location Address	12641 OLD GLENN HWY SUITE #103, EAGLE RIVER, AK, 99577
Practice Telephone / Fax	Tel: (907) 726-1726 \| Fax: (907) 726-1727
Administrative Mailing Address	12641 OLD GLENN HWY SUITE #103, EAGLE RIVER, AK, 99577
Enumeration & Last Sync	Enumerated: 2008-12-18 \| CMS Record Updated: 2025-08-09
Authorized Official	BRADLEY SZUTZ (Owner)

Clinic Location, Accessibility & Directions

📍 Practice Location & Patient Access

12641 OLD GLENN HWY SUITE #103, EAGLE RIVER, AK, 99577

🗺️ Open in Google Maps 🏥 More Providers in EAGLE RIVER

🔒 Are you ALASKA ORAL SURGERY GROUP, P.C.? Get your Verified NPI Clinic Badge or request personal phone/address redaction →

Plain-English Taxonomy & CMS Crosswalk (1223S0112X)

What Does Taxonomy Code 1223S0112X Mean?

In the HIPAA National Uniform Claim Committee (NUCC) classification, code 1223S0112X translates to:
"Licensed Doctor of Dental Surgery (DDS) / Doctor of Medicine in Dentistry (DMD)"

CMS-1500 Medicare Specialty Crosswalk: CMS Code 19 (Oral Surgery (Dentist only))
Certifying / Accrediting Authority: American Dental Association (ADA) / State Board of Dental Examiners
Clinical Scope: Routine 6-month dental checkups, toothache, dental abscess, bleeding gums (periodontitis), or wisdom tooth extraction.

Specialty Clinical Procedures & Therapeutic Classes

Standard Scope of Care (ALASKA ORAL SURGERY GROUP, P.C.)

Typical CPT / Diagnostic Procedures:

Comprehensive Oral Evaluation, Digital Dental Radiographs & Prophylaxis
Restorative Composite Fillings, Crowns, Endodontic Root Canal & Extractions

Common Therapeutic Classes:

Amoxicillin, Metronidazole & Clindamycin (Odontogenic Infections)
Chlorhexidine Gluconate 0.12% Oral Rinse & High-Fluoride Varnish

All Registered NUCC Taxonomies & State Licenses

Taxonomy Code & Plain-English Description	State License & Primary Status
`1223S0112X` — Dentist, Oral and Maxillofacial Surgery Plain English: Licensed Doctor of Dental Surgery (DDS) / Doctor of Medicine in Dentistry (DMD)	State: AK \| License: `D615` \| Primary: Yes (Primary)

Medical Billing, RCM & Hospital Credentialing Teams:

Batch-verify up to 25 NPIs free against CMS NPPES + Medicare PECOS + HHS OIG Exclusions with 1-click CSV export.

Launch Bulk NPI Checker → JSON API Docs

ALASKA ORAL SURGERY GROUP, P.C. (NPI #1689810707)