| Fairbanks Oral Surgery, Llc | |
|
12810 Glen Alps Rd Anchorage AK 99516-6956 | |
| (907) 388-1386 | |
| (907) 455-2010 |
| Full Name | Fairbanks Oral Surgery, Llc |
|---|---|
| Speciality | Dentist - Oral And Maxillofacial Surgery |
| Location | 12810 Glen Alps Rd, Anchorage, Alaska |
| Authorized Official Name and Position | Sarah Jane Satow (OWNER / PRESIDENT) |
| Authorized Official Contact | 9073881386 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Fairbanks Oral Surgery, Llc 114 Minnie St Suite D Fairbanks AK 99701-3006 Ph: (907) 455-1040 | Fairbanks Oral Surgery, Llc 12810 Glen Alps Rd Anchorage AK 99516-6956 Ph: (907) 388-1386 |
| NPI Number | 1063710994 |
|---|---|
| Provider Enumeration Date | 03/01/2011 |
| Last Update Date | 03/01/2011 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1063710994 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223S0112X | Dentist - Oral And Maxillofacial Surgery | 164 (Alaska) | Primary |
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