Fairbanks Orthodontic Group a Prof Corp
Orthodontic practice in Fairbanks, AK
Registered orthodontistLicense # listed (AK)
Public-record details
- Address
- 1919 Lathrop St, Suite 102, Fairbanks, AK 99701
- Phone
- (907) 452-2939
- Listed under
- Orthodontic practices
- NPI
- 1013084680
- NPI status
- Active in the NPPES registry
- Provider type
- Organization (practice, clinic or company)
- Registered specialty (self-reported taxonomy)
- Orthodontics and Dentofacial Orthopedics (1223X0400X)
- License number on NPI record
- AK9 (AK)
- Authorized official
- Walt Babula, DMD, MSCO, President Orthodontist
- NPI first issued
- Nov 29, 2006
- NPI record last updated
- Aug 7, 2013
What these registry facts mean
Checking credentials: the specialty shown is the one this provider registered with the NPI system. Your state dental board's license lookup confirms the license, and the American Board of Orthodontics lists board-certified orthodontists.
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