OrganizationActive
Minnie Street Children'S Dentistry, PC
NPI 1770250292 · Pediatric Dentistry · Fairbanks, AK
Minnie Street Children'S Dentistry, PC is a Pediatric Dentistry organization in Fairbanks, AK (NPI 1770250292).
Provider details
- NPI number
- 1770250292
- Entity type
- Organization
- Primary specialty
- Pediatric DentistryDental Providers
- Organization subpart
- No
- Authorized official
- Gregory Johnson, Member(907) 479-8844
Specialties & taxonomies
Dental Providers
Profile Score
Established profile(62/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
4 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
114 Minnie St Ste B
Fairbanks, AK 99701-3000
Phone: (907) 308-2200
Street-level locationGet directions
Mailing address
114 Minnie St Ste B
Fairbanks, AK 99701-3000
Other names (DBA / former)
- Doing business as
- Rising Stars Children'S Dentistry
Registry dates
- Enumerated
- 2021-08-24
- Last updated
- 2021-08-24
- Certified
- 2021-08-24
Frequently asked questions
- What is Minnie Street Children'S Dentistry, PC's NPI number?
- Minnie Street Children'S Dentistry, PC's National Provider Identifier (NPI) is 1770250292, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Minnie Street Children'S Dentistry, PC?
- Minnie Street Children'S Dentistry, PC is classified in the NPPES registry as Pediatric Dentistry (Dental Providers).
- Where is Minnie Street Children'S Dentistry, PC located?
- Minnie Street Children'S Dentistry, PC's practice location on file with NPPES is 114 Minnie St Ste B, Fairbanks, AK 99701-3000.
- What is Minnie Street Children'S Dentistry, PC's phone number?
- The practice phone number listed in the NPPES registry for Minnie Street Children'S Dentistry, PC is (907) 308-2200.
- Who is the authorized official for Minnie Street Children'S Dentistry, PC?
- The authorized official listed on Minnie Street Children'S Dentistry, PC's NPPES record is Gregory Johnson, Member. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Minnie Street Children'S Dentistry, PC's NPI active?
- Yes — Minnie Street Children'S Dentistry, PC's NPI (1770250292) is active in the NPPES registry as of the last update on 2021-08-24.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.