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Dr. Brock Fred Tidstrom, DDS
General Practice Dentistry in Fairbanks, Alaska
NPI 1184065435

Brock Fred Tidstrom is a General Practice Dentistry based in Fairbanks, AK and is specialized in General Practice. Brock Fred Tidstrom practices in Fairbanks, AK and has the professional credentials of DDS. The NPI Number for Brock Fred Tidstrom is 1184065435 and holds a License No. 1505 (Alaska).

The current practice location address for Brock Fred Tidstrom is 3112 Airport Way, Fairbanks, AK and can be reached out via phone at 907-452-1250.

Location: 3112 Airport Way, Fairbanks, AK, 99709-4754
person
Provider Profile Details
NPI Number
1184065435
Provider Name
Brock Fred Tidstrom
Credential
DDS
Provider Entity Type
Individual
Gender
Male
Address
3112 Airport Way, Fairbanks, AK, 99709-4754
Phone Number
907-452-1250
Fax Number
Provider Enumeration Date
07/16/2013
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
3112 Airport Way
City
State
Zip
99709-4754
Phone Number
907-452-1250
Fax Number
person
Provider Business Mailing Address Details
Address
3112 Airport Way
City
State
Zip
99709-4754
Phone Number
907-452-1250
Fax Number
person
Provider's Taxonomy Details 1
Type
Dental Providers
Classification
Dentist
Speciality
General Practice
Taxonomy
License No.
1505 (Alaska)
Definition
A general dentist is the primary dental care provider for patients of all ages. The general dentist is responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs.
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