| Moose's Tooth Children's Dentistry, Llc | |
| 
					167 S Santa Claus Ln Ste B North Pole AK 99705-7755  | |
| (907) 268-6644 | |
| (907) 268-6670 | 
| Full Name | Moose's Tooth Children's Dentistry, Llc | 
|---|---|
| Speciality | Dentist - Pediatric Dentistry | 
| Location | 167 S Santa Claus Ln Ste B, North Pole, Alaska | 
| Authorized Official Name and Position | Dallin Young (OWNER/PRESIDENT) | 
| Authorized Official Contact | 2084049888 | 
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. | 
| Mailing Address | Practice Location Address | 
|---|---|
| Moose's Tooth Children's Dentistry, Llc 114 Minnie St Ste A Fairbanks AK 99701-3000 Ph: () -  | Moose's Tooth Children's Dentistry, Llc 167 S Santa Claus Ln Ste B North Pole AK 99705-7755 Ph: (907) 268-6644  | 
| NPI Number | 1639666530 | 
|---|---|
| Provider Enumeration Date | 04/16/2018 | 
| Last Update Date | 04/16/2018 | 
| Identifier | Type | State | Issuer | 
|---|---|---|---|
| 1639666530 | NPI | - | NPPES | 
| Taxonomy | Type | License (State) | Status | 
|---|---|---|---|
| 1223P0221X | Dentist - Pediatric Dentistry | (* (Not Available)) | Primary | 
Christopher Olsen, Dds Llc Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 203 S Santa Claus Ln, North Pole, AK 99705 Phone: 907-488-1515 Fax: 907-488-1516  | |
Chena Dental Care Llc Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 2933 Horseshoe Way, North Pole, AK 99705 Phone: 907-488-0861 Fax: 907-488-3141  | |
Dental Workshop Partnership Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 190 Kevins Way, North Pole, AK 99705 Phone: 907-490-4650 Fax: 907-490-4653  | |
Gamaliel I. Rodriguez, Dds, Pc Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 2595 Saint Nicholas Dr, North Pole, AK 99705 Phone: 907-490-4629 Fax: 907-490-4649  | |
Eric P. Buetow, D.d.s., P.c. Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 2933 Horseshoe Way, North Pole, AK 99705 Phone: 907-488-0861  |