OrganizationActive
Fairbanks Dental Center LLC
NPI 1831550631 · Customized Equipment (DME) · Fairbanks, AK
Provider details
- NPI number
- 1831550631
- Entity type
- Organization
- Primary specialty
- Customized Equipment (DME)Suppliers
- Organization subpart
- No
- Authorized official
- Michael Stoltz, Partner(907) 452-1250
Specialties & taxonomies
Suppliers
- Dentist122300000X
Dental Providers
- Orofacial Pain Dentistry1223X2210X
Dental Providers
Practice location
3112 Airport Way
Suite 1
Fairbanks, AK 99709-4768
Phone: (907) 452-1250
Fax: (907) 456-1307
Approximate (ZIP-level) locationGet directions
Mailing address
3112 Airport Way
Fairbanks, AK 99709-4768
Other names (DBA / former)
- Doing business as
- Fairbanks Dental Center
- Doing business as
- Fairbanks Dental Center
Registry dates
- Enumerated
- 2016-03-08
- Last updated
- 2023-11-03
- Certified
- 2023-11-03
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.