Organization · Type 2 NPI

Fairbanks Orthodontic Group A Prof Corp

Orthodontics and Dentofacial Orthopedics Dentistry · Fairbanks, AK

NPI number 1013084680 Active

Practice location

1919 Lathrop St, Suite 102
Fairbanks, AK 99701

Call (907) 452-2939 Map

Fax (907) 451-7330

Specialties and licenses

TaxonomyCodeLicense
Dentist 122300000XAK330 (AK)
Orthodontics and Dentofacial Orthopedics Dentistry Primary 1223X0400XAK9 (AK)

Orthodontics and Dentofacial Orthopedics Dentistry: That area of dentistry concerned with the supervision, guidance and correction of the growing or mature dentofacial structures, including those conditions that require movement of teeth or correction of malrelationships and malformations of their related structures and the adjustment of relationships between and among teeth and facial bones by the application of forces and/or the stimulation and redirection of funct…

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About NPI 1013084680

Fairbanks Orthodontic Group A Prof Corp's National Provider Identifier is 1013084680, issued on Nov 29, 2006. The primary taxonomy on file is Orthodontics and Dentofacial Orthopedics Dentistry (1223X0400X), and the practice location is in Fairbanks, AK. The record was last updated on Aug 7, 2013.