ALASKA ORAL & FACIAL SURGERY CENTER INC NPI 1912919895

NPI Information

ALASKA ORAL & FACIAL SURGERY CENTER INC is an oral and maxillofacial surgery dentist 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. ALASKA ORAL & FACIAL SURGERY CENTER INC NPI is 1912919895. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

1275 SADLER WAY
SUITE 202
FAIRBANKS, AK
ZIP 99701-171
Phone: (907) 452-4101
Fax: (907) 452-4102

The provider's authorized official is Stephen H Sutley .
The authorized official title is Oral Surgeon and has the following contact phone number (907) 452-4101.

The enumeration date for this NPI number is 8/12/2006 and was last updated on 8/16/2007.

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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