NPI 1104227883

Young Smiles Children's Dentistry LLC

Organisation Pediatric Dentistry Fairbanks, AK

Practice location

Address: 114 Minnie St Suite a, Fairbanks, AK 99701-3000
Phone: (907) 452-4509

Authorised official

Name: Dallin Young
Title: Chairman
Phone: (208) 404-9888

Registered specialties

Pediatric Dentistry Primary

Dental Providers Taxonomy 1223P0221X Licence DEN D1576 (AK)

Other Dentist providers in Alaska →

Registry record

NPI: 1104227883
Entity type: Organization
NPI issued: 12 Sep 2014
Record last updated: 12 Sep 2014

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.