| University Dental Center | |
|
570 University Ave Ste A Fairbanks AK 99709-3641 | |
| (907) 479-2206 | |
| (907) 479-6847 |
| Full Name | University Dental Center |
|---|---|
| Speciality | Dentist - General Practice |
| Location | 570 University Ave Ste A, Fairbanks, Alaska |
| Authorized Official Name and Position | John Paul Bast (DENTIST) |
| Authorized Official Contact | 9074792206 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| University Dental Center 570 University Ave Ste A Fairbanks AK 99709-3641 Ph: (907) 479-2206 | University Dental Center 570 University Ave Ste A Fairbanks AK 99709-3641 Ph: (907) 479-2206 |
| NPI Number | 1447486402 |
|---|---|
| Provider Enumeration Date | 06/04/2009 |
| Last Update Date | 06/04/2009 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1447486402 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | 308 (Alaska) | Primary |
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