Todd Haskin DMD LLC

Primary specialty

DentistTaxonomy code 122300000X

Legal business name

TODD HASKIN DMD LLC

Practice address

360 Old Chena Pump Rd Ste a
Fairbanks, AK 99709-2936

Phone

(907) 452-8296

NPI assigned

Dec 10, 2019

Organization subpart

No

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

Authorized official

Name

Todd Haskin, DMD

Title

President and Ceo

Phone

(907) 452-8296

Specialties & licenses 1

Addresses

Other names 1

• Fairbanks Family Dental Care Doing business as

Locations

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

{
    "created_epoch": "1575936000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1575936000000",
    "number": "1639716574",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "360 OLD CHENA PUMP RD STE A",
            "city": "FAIRBANKS",
            "state": "AK",
            "postal_code": "997092936",
            "telephone_number": "907-452-8296"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "360 OLD CHENA PUMP RD STE A",
            "city": "FAIRBANKS",
            "state": "AK",
            "postal_code": "997092936",
            "telephone_number": "907-452-8296"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TODD HASKIN DMD LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-12-10",
        "last_updated": "2019-12-10",
        "certification_date": "2019-12-10",
        "status": "A",
        "authorized_official_last_name": "HASKIN",
        "authorized_official_first_name": "TODD",
        "authorized_official_title_or_position": "PRESIDENT AND CEO",
        "authorized_official_telephone_number": "907-452-8296",
        "authorized_official_credential": "DMD"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Fairbanks Family Dental Care",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Cristina Titus
• Jay Titus
• Kady Dale Titus
• Luke Titus
• Miriam Anne Titus, BSW
• Max Todhunter
• David Tolbert
• Jessica Tomcykoski, DC
• Heather Toney
• Gentry Toone, DDS

• Dentist in Fairbanks, AK
• Providers in Fairbanks, AK by specialty
• Dentist in Alaska

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 10, 2019; 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.