FAIRBANKS ORTHODONTIC GROUP A PROF CORP
NPI 1013084680
Dentist - Orthodontics and Dentofacial Orthopedics in Fairbanks, AK

Active since November 29, 2006
1919 LATHROP ST, SUITE 102, FAIRBANKS, AK 99701(907) 452-2939(907) 451-7330 Get Directions Write a Review

NPPES record last updated: August 7, 2013. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Fairbanks Orthodontic Group A Prof Corp NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

FAIRBANKS ORTHODONTIC GROUP A PROF CORP (NPI 1013084680) is a healthcare organization registered as an orthodontics and dentofacial orthopedics in Fairbanks, Alaska and active in the NPI registry since November 2006. The organization lists Walt Babula, President Orthodontist, as its authorized official.

NPPES Registry Identity

NPI1013084680
Entity TypeOrganization
Primary Taxonomy1223X0400X
Legal Business NameFAIRBANKS ORTHODONTIC GROUP A PROF CORP
Location Address1919 LATHROP ST, SUITE 102Fairbanks, AK 99701
Mailing Address1919 Lathrop St, Suite 102Fairbanks, AK 99701 · (907) 452-2939 · Fax (907) 451-7330
Fax(907) 451-7330
Organization SubpartNo
Authorized OfficialWalt BabulaPresident Orthodontist · (907) 452-2939
Enumeration DateNovember 29, 2006
Last NPPES UpdateAugust 7, 2013
NPI 1013084680 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

Primary SpecialtyDentist · Orthodontics and Dentofacial OrthopedicsDental Providers
Taxonomy Code1223X0400X
License Licensed in AK · AK9
Definition
That area of dentistry concerned with the supervision, guidance and correction of the growing or mature dentofacial structures, including those conditions that require movement of teeth or correction of malrelationships and malformations of their related structures and the adjustment of relationships between and among teeth and facial bones by the application of forces and/or the stimulation and redirection of functional forces within the craniofacial complex. Major responsibilities of orthodontic practice include the diagnosis, prevention, interception and treatment of all forms of malocclusion of the teeth and associated alterations in their surrounding structures; the design, application and control of functional and corrective appliances; and the guidance of the dentition and its supporting structures to attain and maintain optimum occlusal relations in physiologic and esthetic harmony among facial and cranial structures.
Also ListedDentistTaxonomy 122300000X · License AK330 (AK)
1919 LATHROP ST, Fairbanks, AK 99701

Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

Accepted Insurance

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Ophthalmology
1919 LATHROP ST, SUITE 103
FAIRBANKS, AK 99701
Otolaryngology
1919 LATHROP ST, SUITE 103
FAIRBANKS, AK 99701
Nurse Practitioner (Family)
1919 LATHROP ST, SUITE 217
FAIRBANKS, AK 99701
Pharmacy (Community/Retail Pharmacy)
1919 LATHROP ST, SUITE 109
FAIRBANKS, AK 99701
Internal Medicine
1919 LATHROP ST, STE 204
FAIRBANKS, AK 99701
Family Medicine
1919 LATHROP ST
FAIRBANKS, AK 99701
Specialist/Technologist (Athletic Trainer)
1919 LATHROP ST, SUITE 123
FAIRBANKS, AK 99701
Physical Therapist
1919 LATHROP ST, STE 123, MEDICAL AND DENTAL ARTS BUILDING
FAIRBANKS, AK 99701

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Fairbanks Orthodontic Group A Prof Corp's NPI number?

The NPI number for Fairbanks Orthodontic Group A Prof Corp is 1013084680. It was assigned to this organization in the NPPES registry on November 29, 2006.

Where is Fairbanks Orthodontic Group A Prof Corp located?

Fairbanks Orthodontic Group A Prof Corp is located at 1919 Lathrop St Suite 102, Fairbanks, AK 99701. The listed phone number is (907) 452-2939.

What is Fairbanks Orthodontic Group A Prof Corp's specialty?

The primary specialty registered for this NPI is Dentist, specializing in Orthodontics and Dentofacial Orthopedics, with taxonomy code 1223X0400X.

What insurance does Fairbanks Orthodontic Group A Prof Corp accept?

Health plans from Premera Blue Cross Blue Shield of Alaska and UnitedHealthcare list Fairbanks Orthodontic Group A Prof Corp as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Fairbanks Orthodontic Group A Prof Corp was last updated on August 7, 2013. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 13 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.