WALTER JOHN BABULA (NPI# 1003170291) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1003170291 |
| Entity Type | Individual |
| Full Name | WALTER JOHN BABULA |
| Credential | DMD |
| Practice Address |
1919 Lathrop St Ste 102 Fairbanks AK 99701-5937 |
| Practice Telephone | 9074522939 |
| Practice Fax Number | 9074517330 |
| Mailing Telephone | 9074522939 |
| Mailing Fax Number | 9074517330 |
| Enumeration Date | 2012-07-02 |
| Last Update Date | 2012-07-02 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 122300000X | Dentist | 330 | AK | Dental Providers |
| Y | 1223X0400X |
Dentist Specialization: Orthodontics and Dentofacial Orthopedics |
9 | AK | Dental Providers |
| Street Address |
1919 LATHROP ST STE 102 |
| City | FAIRBANKS |
| State | AK |
| Zip Code | 99701-5937 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1659984987 | Resource Center for Parents & Children, Inc. | Social Worker | 726 26th Ave, Suite #2, Fairbanks, AK 99701 | 2020-08-26 |
| 1134738982 | Aaron Paul Sarauer | Behavior Technician | 3121 Lathrop St., Fairbanks, AK 99701 | 2020-07-28 |
| 1437715505 | Fabienne Rose Marie Siddall | Case Manager/Care Coordinator | 122 1st Avenue, Fairbanks, AK 99701 | 2019-05-14 |
| 1902461957 | Jacqueline Marie Rahm | Counselor | Family Centered Services of Alaska - Rtc, 3101 Lathrop St., Fairbanks, AK 99701 | 2019-05-06 |
| 1821588989 | Corrie Wilson | Nurse Practitioner | 1025 Barnette Street, Fairbanks, AK 99701 | 2018-05-15 |
| 1922519305 | Sarishma Sangeeta Lal | Registered Nurse | 815 2nd Ave Ste 122, Fairbanks, AK 99701 | 2017-10-12 |
| 1245690569 | Christine L Simko | Naturopath | 1275 Sadler Way, Ste 100 Rm 147, Fairbanks, AK 99701 | 2016-02-29 |
| 1932581600 | Jennifer Davis | Registered Nurse | 1025 West Barnette St., Fairbanks, AK 99701 | 2015-06-18 |
| 1700272705 | John D. Zipperer Jr Md, LLC | Clinic/Center | 751 Old Richardson Hwy., Fairbanks, AK 99701 | 2015-04-07 |
| 1578957460 | Mara Justine Becker | Physician Assistant | 1717 W. Cowles St, Fairbanks, AK- ALASKA 99701 | 2015-03-27 |
| Find all providers in zip 99701 | ||||
| Taxonomy Code | 1223X0400X |
| Grouping | Dental Providers |
| Classification | Dentist |
| Specialization | Orthodontics and Dentofacial Orthopedics |
| 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 functional forces within the craniofacial complex. Major responsibilities of orthodontic practice include the diagnosis, prevention, interception and treatment of all forms of malocclusion of the teeth and associated alterations in their surrounding structures; the design, application and control of functional and corrective appliances; and the guidance of the dentition and its supporting structures to attain and maintain optimum occlusal relations in physiologic and esthetic harmony among facial and cranial structures. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1275907818 | David C Hobson Dds Ms PC | Dentist | 114 Minnie St Ste B, Fairbanks, AK 99701-3000 | 2015-11-19 |
| 1386792463 | Todd Zane Wentz | Dentist | 701 University Ave, Fairbanks, AK 99709-3646 | 2007-01-08 |
| 1598101628 | Wentz Orthodontics | Dentist | 701 University Ave, Fairbanks, AK 99709-3646 | 2013-05-15 |
| 1578756151 | David Clark Hobson | Dentist | 114 Minnie St, Suite B, Fairbanks, AK 99701-3000 | 2007-08-27 |
| 1649381047 | Christopher H Henry Dmd Ms PC | Dentist | 114 Minnie St, St B, Fairbanks, AK 99701 | 2006-08-31 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1366059438 | Shannon Candid Alaska, P.C. | Dentist | 721 Depot Dr, Anchorage, AK 99501-1615 | 2020-09-23 |
| 1518187210 | Jack B Duclos | Dentist | 1836 W Northern Lights Blvd, Anchorage, AK 99517-3342 | 2007-04-26 |
| 1679697924 | Ronald I Glaeser | Dentist | 3708 Rhone Cir, Anchorage, AK 99508-5051 | 2007-03-19 |
| 1194864025 | Richard L. Day | Dentist | 10998 O'malley Centre Dr., Suite A, Anchorage, AK 99515 | 2007-02-06 |
| 1548321995 | Jeffrey W Symonds | Dentist | 1000 Omalley Road, Suite 105, Anchorage, AK 99515 | 2006-12-12 |
| 1477664712 | M Justin Moore | Dentist | 112 N Binkley St, Soldotna, AK 99669 | 2006-08-31 |
| 1902815798 | Michael Leo Koropp | Dentist | 2700 W Dimond Blvd, Anchorage, AK 99502-1603 | 2006-08-08 |
| 1164441119 | Valley Orthodontics LLC | Dentist | 1001 Usa Cir, Wasilla, AK 99654-7198 | 2006-07-19 |
| 1750728747 | James R. Arneson, Dds,inc | Dentist | 506 W Marine Way, Kodiak, AK 99615-7318 | 2013-05-30 |
| 1629319132 | Kenneth M Eberle | Dentist | 3909 Arctic Blvd Ste 202, Anchorage, AK 99503-5769 | 2013-03-07 |
| Find all providers with the same taxonomy | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.