North Star Children'S Dentistry, Pc in Fairbanks - Pediatric Dentistry
North Star Children'S Dentistry, Pc - NPI 1154489938
North Star Children'S Dentistry, Pc is a Pediatric Dentistry in Fairbanks, Alaska. North Star Children'S Dentistry, Pc practices all healthcare services and medical treatments related to Pediatric Dentistry. The NPI Number for North Star Children'S Dentistry, Pc is 1154489938. The last update date is 2009-05-08.
North Star Children'S Dentistry, Pc's current location address is 114 Minnie St, Fairbanks, Alaska. You can contact this provider via phone number 9074524509 and fax number 9074574509. The mailing address for North Star Children'S Dentistry, Pc is 114 Minnie St, Fairbanks, Alaska. To know further, please read the information below!
Provider Profile Detail
| Provider Organization | North Star Children'S Dentistry, Pc |
|---|---|
| Address | 114 Minnie St, Fairbanks, Alaska |
| Phone Number | 9074524509 |
| Fax Number | 9074574509 |
| Sole Proprietor | -- |
| Credentials | -- |
Authorized Official
| Title or Position | PRESIDENT |
|---|---|
| Authorized Official Name | Johnson L. Gregory |
| Credentials | D.D.S. |
| Telephone Number | 9074524509 |
NPI Number Detail
| NPI Number | 1154489938 |
|---|---|
| Provider Enumeration Date | 2006-12-05 |
| Last Updated Date | 2009-05-08 |
Provider Mailing Address Detail
| Address | 114 Minnie St |
|---|---|
| City | Fairbanks |
| State | Alaska (AK) |
| Post Code | 997013006 |
| Phone Number | 9074524509 |
| Fax Number | 9074574509 |
Provider's Primary Taxonomy Detail
| Speciality | Pediatric Dentistry |
|---|---|
| Taxonomy | 1223P0221X |
|
Definition: An age-defined specialty that provides both primary and comprehensive preventive and therapeutic oral health care for infants and children through adolescence, including those with special health care needs. |
|
Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| DD0657 | AK | -- | |
| DD55881 | AK | -- |
Post Comment/ Review Below
What is the unique 10-digit identification code issued to North Star Children'S Dentistry, Pc by the Centers for Medicare & Medicaid Services?
The North Star Children'S Dentistry, Pc has been assigned the NPI (National Provider Identifier) 1154489938 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code serves as a unique identifier for healthcare providers.
Could you kindly provide the complete physical address where North Star Children'S Dentistry, Pc's facilities are geographically located?
The facilities of North Star Children'S Dentistry, Pc are physically situated at the following location: 114 Minnie St, Fairbanks, AK, 997013006.
What is North Star Children'S Dentistry, Pc's specialized field of practice, and what is the corresponding taxonomy classification code?
The North Star Children'S Dentistry, Pc's area of specialization is Pediatric Dentistry, and the corresponding taxonomy code that categorizes this field of practice is 1223P0221X.
On what date did the Centers for Medicare & Medicaid Services issue the 1154489938 to North Star Children'S Dentistry, Pc?
The North Star Children'S Dentistry, Pc received its 1154489938 assignment from the Centers for Medicare & Medicaid Services on 2006-12-05.
As of what date were the North Star Children'S Dentistry, Pc's details last updated?
The information pertaining to the North Star Children'S Dentistry, Pc, including its address, specialty, and other details, was most recently updated on 2009-05-08.
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