FAIRBANKS ORAL SURGERY, LLC (NPI# 1063710994) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1063710994 |
| Entity Type | Organization |
| Organization Name | FAIRBANKS ORAL SURGERY, LLC |
| Practice Address |
12810 Glen Alps Rd Anchorage AK 99516-6956 |
| Mailing Address |
114 Minnie St Suite D Fairbanks AK 99701-3006 |
| Practice Telephone | 9073881386 |
| Practice Fax Number | 9074552010 |
| Mailing Telephone | 9074551040 |
| Mailing Fax Number | 9074552010 |
| Enumeration Date | 2011-03-01 |
| Last Update Date | 2011-03-01 |
| Authorized Official Name | DR. SARAH JANE SATOW (OWNER / PRESIDENT) |
| Authorized Official Telephone | 9073881386 |
| Authorized Official Credential | DMD |
| Is Organization Subpart | Y |
| Parent Organization Name | EAGLE ORAL & MAXILLOFACIAL SURGERY, PC |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 1223S0112X |
Dentist Specialization: Oral and Maxillofacial Surgery |
164 | AK | Dental Providers |
| Street Address |
12810 GLEN ALPS RD |
| City | ANCHORAGE |
| State | AK |
| Zip Code | 99516-6956 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1235761230 | Golden Years LLC | Assisted Living Facility | 2941 Morgan Loop, Anchorage, AK 99516 | 2020-02-07 |
| 1184038457 | Christine L Longly | Nurse Practitioner | 11331 Ridgecrest Drive, Anchorage, AK 99516 | 2014-06-16 |
| 1700136033 | Marathon Sports and Orthopedics | Durable Medical Equipment & Medical Supplies | 7701 Upper Dearmoun Road, Anchorage, AK 99516 | 2012-09-13 |
| 1164796389 | Karen Coombs-marcey | Pharmacist | 11300 Mael St, Anchorage, UT 99516 | 2012-03-06 |
| 1265616783 | Karen Pudge Dba Forget-me-not Care Coordination | Case Manager/Care Coordinator | 4350 E 145th Avenue, Anchorage, AK 99516 | 2007-12-19 |
| 1588640122 | Debbie A Dragich | Anesthesiology | 11019 Baronik St, Anchorage, AK 99516 | 2005-12-15 |
| 1427665280 | Alaska Monitoring Associates, Inc. | Specialist/Technologist, Other | 11641 Woodbourne Dr, Anchorage, AK 99516-1279 | 2020-09-25 |
| 1306170931 | Heather Reier | Doula | 11026 Forest Dr, Anchorage, AK 99516-1303 | 2009-09-30 |
| 1487284741 | Kirt J Beck | Registered Nurse | 11548 Tanglewood Lakes Cir, Anchorage, AK 99516-1304 | 2020-01-24 |
| 1972735272 | Susan Veatch Pettis | Physical Therapist | 11551 Tanglewood Lakes Cir, Anchorage, AK 99516-1304 | 2009-08-20 |
| Find all providers in zip 99516 | ||||
| Taxonomy Code | 1223S0112X |
| Grouping | Dental Providers |
| Classification | Dentist |
| Specialization | Oral and Maxillofacial Surgery |
| 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. |
| Notes: Source: Council on Dental Education and Licensure, American Dental Association |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1215446042 | Frontier Oral & Maxillofacial Surgery LLC | Dentist | 3220 Providence Dr Ste E3-080, Anchorage, AK 99508-4657 | 2017-09-25 |
| 1760619118 | Bradley John Szutz | Dentist | 1200 Airport Heights Dr. Suite #265, Anchorage, AK 99508 | 2009-06-12 |
| 1689810707 | Alaska Oral Surgery Group, P.C. | Dentist | 1200 Airport Heights Dr Ste 265, Anchorage, AK 99508-2988 | 2008-12-18 |
| 1194745570 | David M. Edwards | Dentist | 3330 Windlass Cir, Anchorage, AK 99516-3438 | 2006-07-20 |
| 1225058977 | Ray A. Holloway | Dentist | 111 W 16th Ave, Suite 203, Anchorage, AK 99501-6206 | 2006-07-19 |
| 1205869245 | Frederick Karl Reinbold | Dentist | 2000 Abbott Rd Ste 200, Anchorage, AK 99507-3867 | 2006-07-09 |
| 1679506638 | John Louis Drager | Dentist | 800 E. Dimond Ste 3-535, Anchorage, AK 99515 | 2006-07-09 |
| 1841747250 | Chugach Oral and Maxillofacial Surgery | Dentist | 2000 Abbott Rd, Ste 200, Anchorage, AK 99507-3878 | 2016-09-01 |
| 1184044752 | Elizabeth Consky | Dentist | 4315 Diplomacy Dr, Anchorage, AK 99508-5926 | 2014-04-22 |
| 1346463866 | James Wood Howell | Dentist | 4315 Diplomacy Dr, Southcentral Foundation, Anchorage, AK 99508-5926 | 2007-04-11 |
| Find all providers in ANCHORAGE | ||||
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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.