NPI 1154489938
North Star Children's Dentistry, PC
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
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.