| Fairbanks Dental Center | |
|
3112 Airport Way Suite 1 Fairbanks AK 99709-4768 | |
| (907) 452-1250 | |
| (907) 456-1307 |
| Full Name | Fairbanks Dental Center |
|---|---|
| Speciality | Durable Medical Equipment & Medical Supplies |
| Location | 3112 Airport Way, Fairbanks, Alaska |
| Authorized Official Name and Position | Michael John Stoltz (PARTNER) |
| Authorized Official Contact | 9074521250 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Fairbanks Dental Center 3112 Airport Way Suite 1 Fairbanks AK 99709-4768 Ph: (907) 452-1250 | Fairbanks Dental Center 3112 Airport Way Suite 1 Fairbanks AK 99709-4768 Ph: (907) 452-1250 |
| NPI Number | 1831550631 |
|---|---|
| Provider Enumeration Date | 03/08/2016 |
| Last Update Date | 11/03/2023 |
| Medicare PECOS PAC ID | 7315226404 |
|---|---|
| Medicare Enrollment ID | O20161112000405 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1831550631 | NPI | - | NPPES |
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Interior Community Health Center Dental Prog Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 1606 23rd Ave, Fairbanks, AK 99701 Phone: 907-455-4567 | |
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