| Young Smiles Children's Dentistry | |
|
114 Minnie St Suite A Fairbanks AK 99701-3000 | |
| (907) 452-4509 | |
| Not Available |
| Full Name | Young Smiles Children's Dentistry |
|---|---|
| Speciality | Dentist - Pediatric Dentistry |
| Location | 114 Minnie St, Fairbanks, Alaska |
| Authorized Official Name and Position | Dallin Young (CHAIRMAN) |
| Authorized Official Contact | 2084049888 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Young Smiles Children's Dentistry 114 Minnie St Suite A Fairbanks AK 99701-3000 Ph: (907) 452-4509 | Young Smiles Children's Dentistry 114 Minnie St Suite A Fairbanks AK 99701-3000 Ph: (907) 452-4509 |
| NPI Number | 1104227883 |
|---|---|
| Provider Enumeration Date | 09/12/2014 |
| Last Update Date | 09/12/2014 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1104227883 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223P0221X | Dentist - Pediatric Dentistry | DEN D1576 (Alaska) | Primary |
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