| Gerik Dental, Inc | |
|
1305 21st Ave Suite #102 Fairbanks AK 99701-6084 | |
| (907) 456-5665 | |
| (907) 456-1753 |
| Full Name | Gerik Dental, Inc |
|---|---|
| Speciality | Clinic/center - Dental |
| Location | 1305 21st Ave, Fairbanks, Alaska |
| Authorized Official Name and Position | Jonathan Gerik (OWNER/PRESIDENT) |
| Authorized Official Contact | 9074565665 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Gerik Dental, Inc 1305 21st Ave Suite #102 Fairbanks AK 99701-6084 Ph: (907) 456-5665 | Gerik Dental, Inc 1305 21st Ave Suite #102 Fairbanks AK 99701-6084 Ph: (907) 456-5665 |
| NPI Number | 1558772277 |
|---|---|
| Provider Enumeration Date | 05/15/2014 |
| Last Update Date | 05/15/2014 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1558772277 | NPI | - | NPPES |
| 1601351 | Medicaid | AK |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QD0000X | Clinic/center - Dental | 1350 (Alaska) | Primary |
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