| Frontier Oral & Maxillofacial Surgery Llc | |
|
3220 Providence Dr Ste E3-080 Anchorage AK 99508-4657 | |
| (907) 375-8785 | |
| (907) 375-8788 |
| Full Name | Frontier Oral & Maxillofacial Surgery Llc |
|---|---|
| Speciality | Dentist - Oral And Maxillofacial Surgery |
| Location | 3220 Providence Dr Ste E3-080, Anchorage, Alaska |
| Authorized Official Name and Position | Kami Jo Ganus (REVENUE CYCLE MANAGER) |
| Authorized Official Contact | 9078655254 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Frontier Oral & Maxillofacial Surgery Llc 3220 Providence Drive Ste E3080 3220 Providence Drive Ste E3080 Anchorage AK 99508-4657 Ph: (907) 375-8785 | Frontier Oral & Maxillofacial Surgery Llc 3220 Providence Dr Ste E3-080 Anchorage AK 99508-4657 Ph: (907) 375-8785 |
| NPI Number | 1215446042 |
|---|---|
| Provider Enumeration Date | 09/25/2017 |
| Last Update Date | 07/21/2022 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1215446042 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223S0112X | Dentist - Oral And Maxillofacial Surgery | (* (Not Available)) | Primary |
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