NPI 1013528090

Spruce Roots Family Dentistry, LLC

Organisation General Practice Dentistry Fairbanks, AK

Practice location

Address: 4001 Geist Rd STE 5, Fairbanks, AK 99709-3569
Phone: (907) 479-3326
Fax: (907) 479-6410

Authorised official

Name: Chris Willis
Title: Business Manager
Phone: (907) 479-3326

Registered specialties

General Practice Dentistry Primary

Dental Providers Taxonomy 1223G0001X

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Registry record

NPI: 1013528090
Entity type: Organization
NPI issued: 12 Aug 2020
Record last updated: 12 Aug 2020

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.