Whalio Doctors

NPI 1154489938

North Star Children's Dentistry, PC

Organisation Pediatric Dentistry Fairbanks, AK

Practice location

Address
114 Minnie St Suite a, Fairbanks, AK 99701-3006
Phone
(907) 452-4509
Fax
(907) 457-4509

Authorised official

Name
Gregory L. Johnson
Title
President
Phone
(907) 452-4509

Registered specialties

Pediatric Dentistry Primary
Dental Providers Taxonomy 1223P0221X

Registry record

NPI
1154489938
Entity type
Organization
NPI issued
5 Dec 2006
Record last updated
8 May 2009

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.