Fairbanks Orthodontic Group A Prof Corp

LBN: Fairbanks Orthodontic Group A Prof Corp
Fairbanks Orthodontic Group A Prof Corp is an health care organization with primary practice located at 1919 Lathrop St Suite 102, Fairbanks AK 99701. The organization recently has 2 registered licenses in different health care specialties including Dental Providers / Dentist, Dental Providers / Orthodontics and Dentofacial Orthopedics. Dental Providers / Orthodontics and Dentofacial Orthopedics is the primary health care specialty. Fairbanks Orthodontic Group A Prof Corp can be contacted via phone (907) 452-2939, or through Babula, Walt via phone (907) 452-2939.

Contact Information

Primary practice address
1919 Lathrop St Suite 102 Fairbanks AK 99701
Phone: (907) 452-2939
Fax: (907) 451-7330
Website:
Map and Directions
Authorized official contact:
Name: Babula, Walt DMD MSCO
Phone: (907) 452-2939

Health care specialties

SpecialtyCodeLicense #State
Dental Providers / Dentist 122300000X AK330 Alaska
Dental Providers / Orthodontics and Dentofacial Orthopedics 1223X0400X AK9 Alaska

Profile Details

NPI number 1013084680
LBN Legal business name Fairbanks Orthodontic Group A Prof Corp
DBA Doing business as
Authorized official Babula, Walt DMD MSCO
Entity Organization
Organization subpart 1 No
Enumeration date Nov 29th, 2006
Last updated Aug 7th, 2013 - about 13 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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