institution
Fairbanks Orthodontic Group, A Professional Corporation
Dental Clinic/Center in Fairbanks, Alaska
NPI 1376982918

Fairbanks Orthodontic Group, A Professional Corporation is a Dental Clinic/Center based in Fairbanks, AK and is specialized in Dental. Fairbanks Orthodontic Group, A Professional Corporation practices in Fairbanks, AK. The NPI Number for Fairbanks Orthodontic Group, A Professional Corporation is 1376982918 and holds a License No. 1249 (Alaska).

The current practice location address for Fairbanks Orthodontic Group, A Professional Corporation is 1919 Lathrop St, Fairbanks, AK and can be reached out via phone at 907-452-2939 and via fax at 907-451-7330. You can also correspond with Fairbanks Orthodontic Group, A Professional Corporation through the mailing address at 1919 LATHROP ST, FAIRBANKS, AK - 99701-5937 (mailing address contact number: 907-452-2939).

Location: 1919 Lathrop St, Fairbanks, AK, 99701-5937
institution
Provider Profile Details
NPI Number
1376982918
Provider Name
Fairbanks Orthodontic Group, A Professional Corporation
Credential
Provider Entity Type
Organization
Address
1919 Lathrop St, Fairbanks, AK, 99701-5937
Phone Number
907-452-2939
Fax Number
907-451-7330
Provider Enumeration Date
06/17/2013
Last Update Date
03/09/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
GR0227 05 AK
institution
Provider Business Practice Location Address Details
Address
1919 Lathrop St
City
State
Zip
99701-5937
Phone Number
907-452-2939
Fax Number
907-451-7330
person
Provider Business Mailing Address Details
Address
1919 Lathrop St
City
State
Zip
99701-5937
Phone Number
907-452-2939
Fax Number
907-451-7330
person
Provider's Taxonomy Details 1
Type
Ambulatory Health Care Facilities
Classification
Clinic/Center
Speciality
Dental
Taxonomy
License No.
1249 (Alaska)
Definition
Definition to come...
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