| Minnie Street Children's Dentistry, Pc | |
|
114 Minnie St Ste B Fairbanks AK 99701-3000 | |
| (907) 308-2200 | |
| Not Available |
| Full Name | Minnie Street Children's Dentistry, Pc |
|---|---|
| Speciality | Dentist - Pediatric Dentistry |
| Location | 114 Minnie St Ste B, Fairbanks, Alaska |
| Authorized Official Name and Position | Gregory L Johnson (MEMBER) |
| Authorized Official Contact | 9074798844 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Minnie Street Children's Dentistry, Pc 114 Minnie St Ste B Fairbanks AK 99701-3000 Ph: (907) 308-2200 | Minnie Street Children's Dentistry, Pc 114 Minnie St Ste B Fairbanks AK 99701-3000 Ph: (907) 308-2200 |
| NPI Number | 1770250292 |
|---|---|
| Provider Enumeration Date | 08/24/2021 |
| Last Update Date | 08/24/2021 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1770250292 | NPI | - | NPPES |
| UNKNOWN | Other | AK | UNKNOWN |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223P0221X | Dentist - Pediatric Dentistry | (* (Not Available)) | Primary |
Fairbanks Orthodontic Group A Prof Corp Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 1919 Lathrop St, Suite 102, Fairbanks, AK 99701 Phone: 907-452-2939 Fax: 907-451-7330 | |
Spruce Roots Family Dentistry, Llc Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 4001 Geist Rd, Ste 5, Fairbanks, AK 99709 Phone: 907-479-3326 Fax: 907-479-6410 | |
Young Smiles Children's Dentistry Llc Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 114 Minnie St, Suite A, Fairbanks, AK 99701 Phone: 907-452-4509 | |
Interior Community Health Center Dental Prog Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 1606 23rd Ave, Fairbanks, AK 99701 Phone: 907-455-4567 | |
Heather A Willis Dds Llc Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 4001 Geist Rd, Ste 5b, Fairbanks, AK 99709 Phone: 907-479-3326 | |
North Star Children's Dentistry, Pc Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 114 Minnie St, Suite A, Fairbanks, AK 99701 Phone: 907-452-4509 Fax: 907-457-4509 | |
Fairbanks Dental Specialists, Llc Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 4001 Geist Rd Ste 3, Fairbanks, AK 99709 Phone: 907-456-3636 Fax: 907-479-6410 |