Individual provider · Type 1 NPI

Brock Fred Tidstrom, DDS

General Practice Dentistry · Fairbanks, AK

NPI number 1184065435 Active

Practice location

3112 Airport Way, Suite 1
Fairbanks, AK 99709-4754

Call (907) 452-1250 Map

Specialties and licenses

TaxonomyCodeLicense
General Practice Dentistry Primary 1223G0001X1505 (AK)

General Practice Dentistry: A general dentist is the primary dental care provider for patients of all ages. The general dentist is responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs.

5 other providers at this address

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About NPI 1184065435

Brock Fred Tidstrom, DDS's National Provider Identifier is 1184065435, issued on Jul 16, 2013. The primary taxonomy on file is General Practice Dentistry (1223G0001X), and the practice location is in Fairbanks, AK. The record was last updated on Jul 16, 2013.