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FRONTIER ORAL & MAXILLOFACIAL SURGERY LLC NPI 1215446042


NPI Information

NPI: 1215446042
Provider Name: FRONTIER ORAL & MAXILLOFACIAL SURGERY LLC
Classification: Dentist - 1223S0112X
Entity Type: Organization

Specialization: Oral and Maxillofacial Surgery

Address:
3220 PROVIDENCE DR STE E3-080
ANCHORAGE, AK
ZIP 99508
Phone: (907) 375-8785
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FRONTIER ORAL & MAXILLOFACIAL SURGERY LLC is an oral and maxillofacial surgery dentist in Anchorage, AK. The provider is the specialty of dentistry which includes the diagnosis, surgical and adjunctive treatment of diseases, injuries and defects involving both the functional and esthetic aspects of the hard and soft tissues of the oral and maxillofacial region. FRONTIER ORAL & MAXILLOFACIAL SURGERY LLC NPI is 1215446042. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

3220 PROVIDENCE DR STE E3-080
ANCHORAGE, AK
ZIP 99508-657
Phone: (907) 375-8785
Fax: (907) 375-8788

The provider's authorized official is Kami Jo Ganus .
The authorized official title is Revenue Cycle Manager and has the following contact phone number (907) 865-5254.

The enumeration date for this NPI number is 9/25/2017 and was last updated on 9/25/2017.


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:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
11223S0112XDentistOral and Maxillofacial SurgeryYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/14/2023

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