Alaska Oral & Facial Surgery Center Inc

Primary specialty

Oral and Maxillofacial Surgery (Dentist)Taxonomy code 1223S0112X

Legal business name

ALASKA ORAL & FACIAL SURGERY CENTER INC

Practice address

1275 Sadler Way
Suite 202
Fairbanks, AK 99701-3171

Phone

(907) 452-4101

Fax

(907) 452-4102

NPI assigned

Aug 12, 2006

Organization subpart

No

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

Authorized official

Name

Stephen H Sutley, D.D.S.

Title

Oral Surgeon

Phone

(907) 452-4101

Specialties & licenses 1

Addresses

Practitioners 1

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

• John E Brock, D.D.S.

  • Oral and Maxillofacial Surgery (Dentist)
  • Hurricane, WV
  • NPI 1376555227
  NPD (past)

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

{
    "created_epoch": "1155340800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1187222400000",
    "number": "1912919895",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1275 SADLER WAY",
            "address_2": "SUITE 202",
            "city": "FAIRBANKS",
            "state": "AK",
            "postal_code": "997013171",
            "telephone_number": "907-452-4101",
            "fax_number": "907-452-4102"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1275 SADLER WAY",
            "address_2": "SUITE 202",
            "city": "FAIRBANKS",
            "state": "AK",
            "postal_code": "997013171",
            "telephone_number": "907-452-4101",
            "fax_number": "907-452-4102"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ALASKA ORAL & FACIAL SURGERY CENTER INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-08-12",
        "last_updated": "2007-08-16",
        "status": "A",
        "authorized_official_last_name": "SUTLEY",
        "authorized_official_first_name": "STEPHEN",
        "authorized_official_middle_name": "H",
        "authorized_official_title_or_position": "ORAL SURGEON",
        "authorized_official_telephone_number": "907-452-4101",
        "authorized_official_credential": "D.D.S."
    },
    "taxonomies": [
        {
            "code": "1223S0112X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, Oral and Maxillofacial Surgery",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Stephen D Ake, D.O.
• Roy Alabran
• Alaska Counseling & Trauma Center, LLC
• Alaska Interior Surgical Center, LLC
• Alaska Neuropsychological and Behavioral Health, LLC
• Alaska Therapeutic Massage LLC
• Alaska Transportation Unlimited LLC
• Alaska'S Loving Hands' Birth and Family Health Services, LLC
• Halah Alateeq, M.S. CCC-SLP
• Shanice Albert, CHA-II

• Oral and Maxillofacial Surgery (Dentist) in Fairbanks, AK
• Providers in Fairbanks, 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 Aug 16, 2007; 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.