NORTH STAR CHILDREN'S DENTISTRY, PC
NPI 1154489938
Dentist - Pediatric Dentistry in Fairbanks, AK

Active since December 05, 2006
114 MINNIE ST, SUITE A, FAIRBANKS, AK 99701(907) 452-4509(907) 457-4509 Get Directions Write a Review

NPPES record last updated: May 8, 2009. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About North Star Children's Dentistry, Pc NPPES

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

NORTH STAR CHILDREN'S DENTISTRY, PC (NPI 1154489938), doing business as Gregory L. Johnson, Dds, Pc, is a healthcare organization registered as a pediatric dentistry in Fairbanks, Alaska and active in the NPI registry since December 2006. The organization lists Gregory L. Johnson, President, as its authorized official.

NPPES Registry Identity

NPI1154489938
Entity TypeOrganization
Primary Taxonomy1223P0221X
Legal Business NameNORTH STAR CHILDREN'S DENTISTRY, PC
Location Address114 MINNIE ST, SUITE AFairbanks, AK 99701-3006
Mailing Address114 Minnie St, Suite AFairbanks, AK 99701-3006 · (907) 452-4509 · Fax (907) 457-4509
Fax(907) 457-4509
Organization SubpartNo
Authorized OfficialGregory L. JohnsonPresident · (907) 452-4509
Enumeration DateDecember 5, 2006
Last NPPES UpdateMay 8, 2009
NPI 1154489938 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyDentist · Pediatric DentistryDental Providers
Taxonomy Code1223P0221X
Definition
An age-defined specialty that provides both primary and comprehensive preventive and therapeutic oral health care for infants and children through adolescence, including those with special health care needs.
114 MINNIE ST, Fairbanks, AK 99701

Other Names 1

Former Legal Business NameGregory L. Johnson, Dds, Pc

Other Identifiers 2

MedicaidDD55881AK
MedicaidDD0657AK

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 6

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

Dentist (Pediatric Dentistry)
114 MINNIE ST, SUITE A
FAIRBANKS, AK 99701
Dentist
114 MINNIE ST, STE C
FAIRBANKS, AK 99701
Dentist (Pediatric Dentistry)
114 MINNIE ST, SUITE E
FAIRBANKS, AK 99701
Dentist
114 MINNIE ST, SUITE C
FAIRBANKS, AK 99701
Dentist (Orthodontics and Dentofacial Orthopedics)
114 MINNIE ST, SUITE B
FAIRBANKS, AK 99701
Dentist (Orthodontics and Dentofacial Orthopedics)
114 MINNIE ST, ST B
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 North Star Children's Dentistry, PC's NPI number?

The NPI number for North Star Children's Dentistry, PC is 1154489938. It was assigned to this organization in the NPPES registry on December 5, 2006. The provider was formerly known as Gregory L. Johnson, Dds, PC.

Where is North Star Children's Dentistry, PC located?

North Star Children's Dentistry, PC is located at 114 Minnie St Suite A, Fairbanks, AK 99701. The listed phone number is (907) 452-4509.

What is North Star Children's Dentistry, PC's specialty?

The primary specialty registered for this NPI is Dentist, specializing in Pediatric Dentistry, with taxonomy code 1223P0221X.

When was this NPI record last updated?

The NPPES record for North Star Children's Dentistry, PC was last updated on May 8, 2009. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 17 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.