NPI 1003170291

Walter John Babula, DMD

Practitioner Orthodontics and Dentofacial Orthopedics Dentistry Fairbanks, AK

Practice location

Address: 1919 Lathrop St STE 102, Fairbanks, AK 99701-5937
Phone: (907) 452-2939
Fax: (907) 451-7330

Registered specialties (2)

Orthodontics and Dentofacial Orthopedics Dentistry Primary

Dental Providers Taxonomy 1223X0400X Licence 9 (AK)

Other Dentist providers in Alaska →

Dentist

Dental Providers Taxonomy 122300000X Licence 330 (AK)

Registry record

NPI: 1003170291
Entity type: Individual
Sex (as registered): Male
NPI issued: 2 Jul 2012
Record last updated: 2 Jul 2012

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.