SPRUCE ROOTS FAMILY DENTISTRY LLC NPI 1013528090

NPI Information

SPRUCE ROOTS FAMILY DENTISTRY, LLC is a general practice dentist in Fairbanks, AK. The provider is a general dentist is the primary dental care provider for patients of all ages. The general dentist is responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs. SPRUCE ROOTS FAMILY DENTISTRY, LLC NPI is 1013528090. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

4001 GEIST RD
STE 5
FAIRBANKS, AK
ZIP 99709-569
Phone: (907) 479-3326
Fax: (907) 479-6410

The provider's authorized official is Chris Willis .
The authorized official title is Business Manager and has the following contact phone number (907) 479-3326.

The enumeration date for this NPI number is 8/12/2020 and was last updated on 8/12/2020.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

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