Individual provider · Type 1 NPI

Michael John Stoltz, DMD

Oral and Maxillofacial Surgery (Dentist) · Fairbanks, AK

NPI number 1417074618 Active

Practice location

3112 Airport Way, Suite 1
Fairbanks, AK 99709

Fax (907) 456-1307

Specialties and licenses

TaxonomyCodeLicense
General Practice Dentistry 1223G0001X745 (AK)
Oral and Maxillofacial Surgery (Dentist) Primary 1223S0112XDEND745 (AK)

Oral and Maxillofacial Surgery (Dentist): The specialty of dentistry which includes the diagnosis, surgical and adjunctive treatment of diseases, injuries and defects involving both the functional and esthetic aspects of the hard and soft tissues of the oral and maxillofacial region.

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About NPI 1417074618

Michael John Stoltz, DMD's National Provider Identifier is 1417074618, issued on Mar 23, 2007. The primary taxonomy on file is Oral and Maxillofacial Surgery (Dentist) (1223S0112X), and the practice location is in Fairbanks, AK. The record was last updated on Jul 6, 2023.