| Spruce Roots Family Dentistry | |
|
4001 Geist Rd Ste 5b Fairbanks AK 99709-3552 | |
| (907) 479-3326 | |
| Not Available |
| Full Name | Spruce Roots Family Dentistry |
|---|---|
| Speciality | Dentist - General Practice |
| Location | 4001 Geist Rd, Fairbanks, Alaska |
| Authorized Official Name and Position | Christopher Willis (DIRECTOR OF OPERATIONS) |
| Authorized Official Contact | 9076873491 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Spruce Roots Family Dentistry 4001 Geist Rd Ste 5b Fairbanks AK 99709-3552 Ph: (907) 479-3326 | Spruce Roots Family Dentistry 4001 Geist Rd Ste 5b Fairbanks AK 99709-3552 Ph: (907) 479-3326 |
| NPI Number | 1144508128 |
|---|---|
| Provider Enumeration Date | 07/25/2011 |
| Last Update Date | 07/25/2011 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1144508128 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | 1252 (Alaska) | Primary |
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