| 71 17 North Family Dentistry, Llc | |
|
1616 Okpik St Uqtiagvik AK 99723 | |
| (907) 888-0057 | |
| (907) 479-6410 |
| Full Name | 71 17 North Family Dentistry, Llc |
|---|---|
| Speciality | Dentist - General Practice |
| Location | 1616 Okpik St, Uqtiagvik, Alaska |
| Authorized Official Name and Position | Chris Willis (BUSINESS MANAGER) |
| Authorized Official Contact | 9076873491 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| 71 17 North Family Dentistry, Llc 4001 Geist Rd Ste 5 Fairbanks AK 99709-3569 Ph: (907) 888-0057 | 71 17 North Family Dentistry, Llc 1616 Okpik St Uqtiagvik AK 99723 Ph: (907) 888-0057 |
| NPI Number | 1407625510 |
|---|---|
| Provider Enumeration Date | 12/29/2023 |
| Last Update Date | 12/29/2023 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1407625510 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | (* (Not Available)) | Primary |