Four Corners Dental Group Fairbanks

LBN: Four Corners Dental Group Fairbanks
Four Corners Dental Group Fairbanks is an health care organization with primary practice located at 3487 Airport Way , Fairbanks AK 99709-4761. The organization recently has only one registered license in Dental Providers / General Practice, which is considered as the primary health care specialty. Four Corners Dental Group Fairbanks can be contacted via phone (907) 479-7771, or through Rhoton, Shane D via phone (907) 479-7771.

Contact Information

Primary practice address
3487 Airport Way Fairbanks AK 99709-4761
Phone: (907) 479-7771
Fax: (907) 479-7772
Website:
Map and Directions
Authorized official contact:
Name: Rhoton, Shane D
Phone: (907) 479-7771

Health care specialties

SpecialtyCodeLicense #State
Dental Providers / General Practice 1223G0001X 1262 Alaska

Profile Details

NPI number 1710310073
LBN Legal business name Four Corners Dental Group Fairbanks
DBA Doing business as
Authorized official Rhoton, Shane D
Entity Organization
Organization subpart 1 No
Enumeration date Aug 9th, 2013
Last updated Aug 9th, 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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Identifiers

StateTypeNumberIssuer
All States NPI 1710310073 NPPES
Alaska MEDICAID DD0143

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