| Neibaur Dental, Inc. | |
|
102 10th Ave Fairbanks AK 99701-5003 | |
| (907) 456-6111 | |
| (907) 456-6122 |
| Full Name | Neibaur Dental, Inc. |
|---|---|
| Speciality | Dentist |
| Location | 102 10th Ave, Fairbanks, Alaska |
| Authorized Official Name and Position | Chad Brigg Neibaur (PRESIDENT) |
| Authorized Official Contact | 9073789620 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Neibaur Dental, Inc. 102 10th Ave Fairbanks AK 99701-5003 Ph: (907) 456-6111 | Neibaur Dental, Inc. 102 10th Ave Fairbanks AK 99701-5003 Ph: (907) 456-6111 |
| NPI Number | 1427390103 |
|---|---|
| Provider Enumeration Date | 03/20/2013 |
| Last Update Date | 03/20/2013 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1427390103 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 122300000X | Dentist | 1337 (Alaska) | Primary |
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