Fairbanks Family Dental Care Inc | |
515 7th Ave Suite 220 Fairbanks AK 99701-4933 | |
(907) 452-8296 | |
Not Available |
Full Name | Fairbanks Family Dental Care Inc |
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Speciality | Dentist |
Location | 515 7th Ave, Fairbanks, Alaska |
Authorized Official Name and Position | Todd S Christensen (PRESIDENT) |
Authorized Official Contact | 9074528296 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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Fairbanks Family Dental Care Inc 515 7th Ave Suite 220 Fairbanks AK 99701-4933 Ph: (907) 452-8296 | Fairbanks Family Dental Care Inc 515 7th Ave Suite 220 Fairbanks AK 99701-4933 Ph: (907) 452-8296 |
NPI Number | 1225373947 |
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Provider Enumeration Date | 12/06/2012 |
Last Update Date | 12/06/2012 |
Identifier | Type | State | Issuer |
---|---|---|---|
1225373947 | NPI | - | NPPES |
DD0027 | Medicaid | AK | |
DD0085 | Medicaid | AK |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
122300000X | Dentist | (Alaska) | Primary |
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