| Alaska Oral & Facial Surgery Center Inc | |
|
1275 Sadler Way Suite 202 Fairbanks AK 99701-3171 | |
| (907) 452-4101 | |
| (907) 452-4102 |
| Full Name | Alaska Oral & Facial Surgery Center Inc |
|---|---|
| Speciality | Dentist - Oral And Maxillofacial Surgery |
| Location | 1275 Sadler Way, Fairbanks, Alaska |
| Authorized Official Name and Position | Stephen H Sutley (ORAL SURGEON) |
| Authorized Official Contact | 9074524101 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Alaska Oral & Facial Surgery Center Inc 1275 Sadler Way Suite 202 Fairbanks AK 99701-3171 Ph: (907) 452-4101 | Alaska Oral & Facial Surgery Center Inc 1275 Sadler Way Suite 202 Fairbanks AK 99701-3171 Ph: (907) 452-4101 |
| NPI Number | 1912919895 |
|---|---|
| Provider Enumeration Date | 08/12/2006 |
| Last Update Date | 08/16/2007 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1912919895 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223S0112X | Dentist - Oral And Maxillofacial Surgery | (* (Not Available)) | Primary |
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