Fairbanks Orthodontic Group A Prof Corp - Dental Clinic in Fairbanks, AK

Fairbanks Orthodontic Group A Prof Corp is a dental clinic (Dentist - Orthodontics And Dentofacial Orthopedics) in Fairbanks, Alaska. The current practice location for Fairbanks Orthodontic Group A Prof Corp is 1919 Lathrop St, Suite 102, Fairbanks, Alaska. For appointments, you can reach them via phone at (907) 452-2939. The mailing address for Fairbanks Orthodontic Group A Prof Corp is 1919 Lathrop St, Suite 102, Fairbanks, Alaska and phone number is (907) 452-2939.

Fairbanks Orthodontic Group A Prof Corp is licensed to practice in Alaska (license number AK9) and its NPI number is 1013084680. This medical practice does not participate in medicare program and thus may not accept your medicare insurance. You may check if they accept your insurance at (907) 452-2939.

Contact Information

Fairbanks Orthodontic Group A Prof Corp
1919 Lathrop St
Suite 102
Fairbanks
AK 99701
(907) 452-2939
(907) 451-7330

Dental Care Clinic Profile

Full NameFairbanks Orthodontic Group A Prof Corp
SpecialityDentist - Orthodontics And Dentofacial Orthopedics
Location1919 Lathrop St, Fairbanks, Alaska
Authorized Official Name and PositionWalt Babula (PRESIDENT ORTHODONTIST)
Authorized Official Contact9074522939
Accepts Medicare InsuranceThis clinic does not participate in Medicare Program.

Mailing Address and Practice Location

Mailing AddressPractice Location Address
Fairbanks Orthodontic Group A Prof Corp
1919 Lathrop St
Suite 102
Fairbanks
AK 99701

Ph: (907) 452-2939
Fairbanks Orthodontic Group A Prof Corp
1919 Lathrop St
Suite 102
Fairbanks
AK 99701

Ph: (907) 452-2939

NPI Details:

NPI Number1013084680
Provider Enumeration Date11/29/2006
Last Update Date08/07/2013

Medical Identifiers

Medical identifiers for Fairbanks Orthodontic Group A Prof Corp such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1013084680NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
122300000XDentist AK330 (Alaska)Secondary
1223X0400XDentist - Orthodontics And Dentofacial Orthopedics AK9 (Alaska)Primary

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