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
| Taxonomy | Code | License |
|---|---|---|
| Pediatric Dentistry Primary | 1223P0221X | None 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.