Michael James Fox, DDS

Individual provider Active NPI General Practice Dentistry · Anchorage, AK

NPI 1477539559 · NPPES record last updated Oct 5, 2021

Key facts

NPI
1477539559
Entity type
Individual (NPI type 1)
Primary specialty
General Practice Dentistry 1223G0001X
License
5462 (OK)
Practice address
1000 Omalley Rd Ste 101
Anchorage, AK 99515-3083
Phone
(907) 349-0022
NPI assigned
Dec 20, 2005
Sex
Male
Sole proprietor
No

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

Medicare participation

Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

Medicare enrollment (NPD)
Yes

Practice roles

OrganizationSpecialtyStatusNew patients
Dental Excellence, LLC Current
since Jul 24, 2022
Accepting new patients

Locations

1000 Omalley Rd
Ste 101
Anchorage, AK 99515
Phone (907) 349-0022

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Dentistry 1223G0001X 5462 OK Yes

Addresses

Primary practice location

1000 Omalley Rd Ste 101
Anchorage, AK 99515-3083

Mailing address

1000 Omalley Rd Ste 101
Anchorage, AK 99515-3083
Phone (907) 349-0022

Other identifiers

IdentifierTypeStateIssuer
136794OtherAKALASKA DENTAL LICENSE

Other providers in Anchorage, AK

All providers in Anchorage, AK · General Practice Dentistry in Alaska

Sources for this page

Verify at the official NPI Registry.