OrganizationActive
Frontier Oral & Maxillofacial Surgery LLC
NPI 1215446042 · Oral and Maxillofacial Surgery (Dentist) · Anchorage, AK
Provider details
- NPI number
- 1215446042
- Entity type
- Organization
- Primary specialty
- Oral and Maxillofacial Surgery (Dentist)Dental Providers
- Organization subpart
- No
- Authorized official
- Kami Jo Ganus, Revenue Cycle Manager(907) 865-5254
Specialties & taxonomies
Dental Providers
Profile Score
Established profile(69/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
8 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
3220 Providence Dr Ste E3-080
Anchorage, AK 99508-4657
Phone: (907) 375-8785
Fax: (907) 375-8788
Street-level locationGet directions
Mailing address
3220 Providence Drive Ste E3080
Anchorage, AK 99508-4657
Registry dates
- Enumerated
- 2017-09-25
- Last updated
- 2022-07-21
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.