Fairbanks Oral Surgery, LLC

Primary specialty

Oral and Maxillofacial Surgery (Dentist)Taxonomy code 1223S0112X

License

164 Issued in AK

Legal business name

FAIRBANKS ORAL SURGERY, LLC

Practice address

12810 Glen Alps Rd
Anchorage, AK 99516-6956

Phone

(907) 388-1386

Fax

(907) 455-2010

NPI assigned

Mar 1, 2011

Organization subpart

Yes

Parent organization

EAGLE ORAL & MAXILLOFACIAL SURGERY, PCAs reported in NPPES

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Dr. Sarah Jane Satow, DMDNPI 1023145026

Title

Owner / President

Phone

(907) 388-1386

Specialties & licenses 1

Addresses

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Sarah J Satow, BSC., DMD, FRCDC

  • Oral and Maxillofacial Surgery (Dentist)
  • Fairbanks, AK
  • NPI 1023145026
  NPD (past) Authorized official

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1298937600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1298937600000",
    "number": "1063710994",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "114 MINNIE ST",
            "address_2": "SUITE D",
            "city": "FAIRBANKS",
            "state": "AK",
            "postal_code": "997013006",
            "telephone_number": "907-455-1040",
            "fax_number": "907-455-2010"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12810 GLEN ALPS RD",
            "city": "ANCHORAGE",
            "state": "AK",
            "postal_code": "995166956",
            "telephone_number": "907-388-1386",
            "fax_number": "907-455-2010"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FAIRBANKS ORAL SURGERY, LLC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "EAGLE ORAL & MAXILLOFACIAL SURGERY, PC",
        "enumeration_date": "2011-03-01",
        "last_updated": "2011-03-01",
        "status": "A",
        "authorized_official_last_name": "SATOW",
        "authorized_official_first_name": "SARAH",
        "authorized_official_middle_name": "JANE",
        "authorized_official_title_or_position": "OWNER / PRESIDENT",
        "authorized_official_telephone_number": "907-388-1386",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DMD"
    },
    "taxonomies": [
        {
            "code": "1223S0112X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, Oral and Maxillofacial Surgery",
            "state": "AK",
            "license": "164",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Eric Scott Fagerstrom, DMD
• Jennifer Faggert
• Timothy J Faggionato, PA-C
• Gregory Edward Fahl
• James Fahl
• Lizbeth Fairley
• Fairweather LLC
• Fairweather, LLC
• Cindy M Faitala
• Momodoubolong Faitala

• Oral and Maxillofacial Surgery (Dentist) in Anchorage, AK
• Providers in Anchorage, AK by specialty
• Oral and Maxillofacial Surgery (Dentist) in Alaska

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 1, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.