Whalio Doctors

NPI 1063710994

Fairbanks Oral Surgery, LLC

Organisation Oral and Maxillofacial Surgery (Dentist) Anchorage, AK

Practice location

Address
12810 Glen Alps Rd, Anchorage, AK 99516-6956
Phone
(907) 388-1386
Fax
(907) 455-2010
Mailing address
114 Minnie St Suite D, Fairbanks, AK 99701-3006

Authorised official

Name
Sarah Jane Satow
Title
Owner / President
Phone
(907) 388-1386

Registered specialties

Oral and Maxillofacial Surgery (Dentist) Primary
Dental Providers Taxonomy 1223S0112X Licence 164 (AK)

Registry record

NPI
1063710994
Entity type
Organization
NPI issued
1 Mar 2011
Record last updated
1 Mar 2011

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.