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SPRUCE ROOTS FAMILY DENTISTRY, LLC
NPI 1013528090
Dentist - General Practice in Fairbanks, AK

Active since August 12, 2020
4001 GEIST RD, STE 5, FAIRBANKS, AK 99709(907) 479-3326(907) 479-6410 Get Directions Write a Review

NPPES record last updated: August 12, 2020. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Spruce Roots Family Dentistry, Llc NPPES

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

SPRUCE ROOTS FAMILY DENTISTRY, LLC (NPI 1013528090) is a healthcare organization registered as a general practice in Fairbanks, Alaska and active in the NPI registry since August 2020. The organization lists Chris Willis, Business Manager, as its authorized official.

NPPES Registry Identity

NPI1013528090
Entity TypeOrganization
Primary Taxonomy1223G0001X
Legal Business NameSPRUCE ROOTS FAMILY DENTISTRY, LLC
Location Address4001 GEIST RD, STE 5Fairbanks, AK 99709-3569
Mailing Address4001 Geist Rd, Ste 5Fairbanks, AK 99709-3569 · (907) 479-3326 · Fax (907) 479-6410
Phone(907) 479-3326
Fax(907) 479-6410
Organization SubpartNo
Authorized OfficialChris WillisBusiness Manager · (907) 479-3326
Enumeration DateAugust 12, 2020
NPPES CertifiedAugust 12, 2020
✔ NPI 1013528090 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDentist · General PracticeDental Providers
Taxonomy Code1223G0001X
Definition
A general dentist is the primary dental care provider for patients of all ages. The general dentist is responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs.
4001 GEIST RD, Fairbanks, AK 99709
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Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Other Providers at the Same Location NPPES 10

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

HEATHER A WILLIS DDS LLC
Dentist (General Practice)
4001 GEIST RD, STE 5B
FAIRBANKS, AK 99709
Fairbanks North Star Borough (907) 479-3326
MRS. LINDSAY MARIE COSTELLO MPT
Physical Therapist
4001 GEIST RD, STE 12
FAIRBANKS, AK 99709
Fairbanks North Star Borough (907) 374-1981
ALFRED DAVID DERAMUS M.D.
Ophthalmology
4001 GEIST RD, STE 9
FAIRBANKS, AK 99709
Fairbanks North Star Borough (907) 479-0852
BETTER WORLD DEVELOPMENT
Clinic/Center (Health Service)
4001 GEIST RD, SUITE 12
FAIRBANKS, AK 99709
Fairbanks North Star Borough (907) 374-1981
JAMES A. CERNEY,DDS,PC
Dentist (General Practice)
4001 GEIST RD, SUITE 5B
FAIRBANKS, AK 99709
Fairbanks North Star Borough (907) 479-3326
ALFRED D DERAMUS MD A PROFESSIONAL CORPORATION
Ophthalmology
4001 GEIST RD, SUITE 9
FAIRBANKS, AK 99709
Fairbanks North Star Borough (907) 479-0852
IAN JOSEPH COSTELLO
Chiropractor
4001 GEIST RD
FAIRBANKS, AK 99709
Fairbanks North Star Borough (907) 374-1981
DR. ROGER DEAN THURMOND M.D.,P.C.
Specialist
4001 GEIST RD, SUITE 8
FAIRBANKS, AK 99709
Fairbanks North Star Borough (907) 456-8899

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 Spruce Roots Family Dentistry, LLC's NPI number?

The NPI number for Spruce Roots Family Dentistry, LLC is 1013528090. It was assigned to this organization in the NPPES registry on August 12, 2020.

Where is Spruce Roots Family Dentistry, LLC located?

Spruce Roots Family Dentistry, LLC is located at 4001 Geist Rd Ste 5, Fairbanks, AK 99709. The listed phone number is (907) 479-3326.

What is Spruce Roots Family Dentistry, LLC's specialty?

The primary specialty registered for this NPI is Dentist, specializing in General Practice, with taxonomy code 1223G0001X.

When was this NPI record last updated?

The NPPES record for Spruce Roots Family Dentistry, LLC was last updated on August 12, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.