AOFS VAN LEEUWEN PC NPI 1831621093

NPI Information

AOFS VAN LEEUWEN PC is an oral and maxillofacial surgery clinic center in Fairbanks, 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. AOFS VAN LEEUWEN PC NPI is 1831621093. The provider is registered as an organization entity type.
The provider Is Doing Business As Alaska Oral & Facial Surgery.

The provider's business location address is:

1275 SADLER WAY STE 202
FAIRBANKS, AK
ZIP 99701-175
Phone: (907) 452-4101

The provider's authorized official is Billie Jo Martin .
The authorized official title is Executive Director and has the following contact phone number (907) 452-4101.

The enumeration date for this NPI number is 3/28/2017 and was last updated on 3/28/2017.

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:

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