IndividualActive
Tiffany George
NPI 1114404878 · Advanced Practice Dental Therapist · Fairbanks, AK
Provider details
- NPI number
- 1114404878
- Entity type
- Individual
- Primary specialty
- Advanced Practice Dental TherapistDental Providers
- Sex
- Female
- Sole proprietor
- No
- License
- 18-149-DHAT (AK)
Specialties & taxonomies
Dental Providers
Practice location
1717 W Cowles St
Fairbanks, AK 99701-5926
Phone: (907) 452-8251
Approximate (ZIP-level) locationGet directions
Mailing address
1717 W Cowles St
Fairbanks, AK 99701-5926
Registry dates
- Enumerated
- 2018-07-25
- Last updated
- 2022-09-07
- Certified
- 2022-09-07
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.