Provider Demographics
NPI:1245454818
Name:HYER, JAMES E V (DMD)
Entity type:Individual
Prefix:DR
First Name:JAMES
Middle Name:E
Last Name:HYER
Suffix:V
Gender:M
Credentials:DMD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3705 ARCTIC BLVD
Mailing Address - Street 2:SUITE 1503
Mailing Address - City:ANCHORAGE
Mailing Address - State:AK
Mailing Address - Zip Code:99503-5774
Mailing Address - Country:US
Mailing Address - Phone:907-561-2475
Mailing Address - Fax:907-562-0786
Practice Address - Street 1:3501 DENALI
Practice Address - Street 2:SUITE 302
Practice Address - City:ANCHORAGE
Practice Address - State:AK
Practice Address - Zip Code:99503-4039
Practice Address - Country:US
Practice Address - Phone:907-561-2475
Practice Address - Fax:907-562-0786
Is Sole Proprietor?:Yes
Enumeration Date:2007-04-12
Last Update Date:2007-07-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AK683122300000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes122300000XDental ProvidersDentist
Provider Identifiers
StateIdentifier IDID TypeIssuer
AKDD33022Medicaid