NPI 1194401133

Brando R Sipin

Practitioner Dentist Fort Wainwright, AK

Practice location

Address: 4076 Neely Road, Fort Wainwright, AK 99703
Phone: (907) 353-2917

Registered specialties

Dentist Primary

Dental Providers Taxonomy 122300000X Licence 14229036-9926 (UT)

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Registry record

NPI: 1194401133
Entity type: Individual
Sex (as registered): Male
NPI issued: 26 Jun 2023
Record last updated: 15 Jun 2026

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.