| Dr Brock Fred Tidstrom, DDS | |
|
3112 Airport Way, Suite 1, Fairbanks, AK 99709-4754 | |
| (907) 452-1250 | |
| Not Available |
| Full Name | Dr Brock Fred Tidstrom |
|---|---|
| Gender | Male |
| Speciality | Dentist - General Practice |
| Location | 3112 Airport Way, Fairbanks, Alaska |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1184065435 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | 1505 (Alaska) | Primary |
| Mailing Address | Practice Location Address |
|---|---|
| Dr Brock Fred Tidstrom, DDS 3112 Airport Way, Suite 1, Fairbanks, AK 99709-4754 Ph: (907) 452-1250 | Dr Brock Fred Tidstrom, DDS 3112 Airport Way, Suite 1, Fairbanks, AK 99709-4754 Ph: (907) 452-1250 |
Jeffrey W Kilgore, D.M.D. Dentist Medicare: Medicare Enrolled Practice Location: 1606 23rd Ave, Fairbanks, AK 99701 Phone: 907-455-4567 Fax: 907-458-1589 | |
Walter John Babula, DMD Dentist Medicare: Not Enrolled in Medicare Practice Location: 1919 Lathrop St Ste 102, Fairbanks, AK 99701 Phone: 907-452-2939 Fax: 907-451-7330 | |
Dr. Sarah J Satow, BSC., DMD, FRCDC Dentist Medicare: Medicare Enrolled Practice Location: 114 Minnie St.,, Suite D, Fairbanks, AK 99701 Phone: 907-455-4010 | |
Dr. Henry Charles Jensen, Dentist Medicare: Not Enrolled in Medicare Practice Location: 570 Riverstone Way, Suite 1, Fairbanks, AK 99709 Phone: 907-455-4350 | |
Dr. Matthew Douglas Richards, DDS Dentist Medicare: Medicare Enrolled Practice Location: 122 1st Ave, Ste 600, Fairbanks, AK 99701 Phone: 907-452-8251 | |
Dr. Melissa Marcella Webster, DMD Dentist Medicare: Medicare Enrolled Practice Location: 421 3rd St, Ste B, Fairbanks, AK 99701 Phone: 907-455-7100 Fax: 907-455-7109 | |
John W Sargent, DDS Dentist Medicare: Not Enrolled in Medicare Practice Location: 3112 Airport Way, Ste #1, Fairbanks, AK 99709 Phone: 907-452-1250 Fax: 907-456-1307 |