| Todd Z Wentz Dds Ms Apc | |
|
701 University Ave Fairbanks AK 99709-3646 | |
| (907) 452-7223 | |
| (907) 452-1293 |
| Full Name | Todd Z Wentz Dds Ms Apc |
|---|---|
| Speciality | Dentist - Orthodontics And Dentofacial Orthopedics |
| Location | 701 University Ave, Fairbanks, Alaska |
| Authorized Official Name and Position | Natalie Wentz (BUSINESS MANAGER) |
| Authorized Official Contact | 9074527223 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Todd Z Wentz Dds Ms Apc 701 University Ave Fairbanks AK 99709-3646 Ph: (907) 452-7223 | Todd Z Wentz Dds Ms Apc 701 University Ave Fairbanks AK 99709-3646 Ph: (907) 452-7223 |
| NPI Number | 1598101628 |
|---|---|
| Provider Enumeration Date | 05/15/2013 |
| Last Update Date | 05/15/2013 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1598101628 | NPI | - | NPPES |
| D0078 | Medicaid | AK |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223X0400X | Dentist - Orthodontics And Dentofacial Orthopedics | 847 (Alaska) | Primary |
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