Organization · Type 2 NPI

Moose's Tooth Children's Dentistry, LLC

Pediatric Dentistry · North Pole, AK

NPI number 1639666530 Active

Practice location

167 S Santa Claus Ln Ste B
North Pole, AK 99705-7755

Fax (907) 268-6670

Mailing address

114 Minnie St Ste A
Fairbanks, AK 99701-3000

Specialties and licenses

TaxonomyCodeLicense
Pediatric Dentistry Primary 1223P0221XNone listed

Pediatric Dentistry: An age-defined specialty that provides both primary and comprehensive preventive and therapeutic oral health care for infants and children through adolescence, including those with special health care needs.

About NPI 1639666530

Moose's Tooth Children's Dentistry, LLC's National Provider Identifier is 1639666530, issued on Apr 16, 2018. The primary taxonomy on file is Pediatric Dentistry (1223P0221X), and the practice location is in North Pole, AK. The record was last updated on Apr 16, 2018.