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FRONTIER ORAL & MAXILLOFACIAL SURGERY LLC
NPI 1215446042
Dentist - Oral and Maxillofacial Surgery in Anchorage, AK

Active since September 25, 2017
3220 PROVIDENCE DR STE E3-080, ANCHORAGE, AK 99508(907) 375-8785(907) 375-8788 Get Directions Write a Review

NPPES record last updated: July 21, 2022. Verified against the NPPES registry weekly; last sync: September 06, 2026.

About Frontier Oral & Maxillofacial Surgery Llc NPPES

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

FRONTIER ORAL & MAXILLOFACIAL SURGERY LLC (NPI 1215446042) is a healthcare organization registered as an oral and maxillofacial surgery in Anchorage, Alaska and active in the NPI registry since September 2017. The organization lists Kami Jo Ganus, Revenue Cycle Manager, as its authorized official.

NPPES Registry Identity

NPI1215446042
Entity TypeOrganization
Primary Taxonomy1223S0112X
Legal Business NameFRONTIER ORAL & MAXILLOFACIAL SURGERY LLC
Location Address3220 PROVIDENCE DR STE E3-080Anchorage, AK 99508-4657
Mailing Address3220 Providence Drive Ste E3080, 3220 Providence Drive Ste E3080Anchorage, AK 99508-4657 · (907) 375-8785 · Fax (907) 375-8788
Phone(907) 375-8785
Fax(907) 375-8788
Organization SubpartNo
Authorized OfficialKami Jo GanusRevenue Cycle Manager · (907) 865-5254
Enumeration DateSeptember 25, 2017
Last NPPES UpdateJuly 21, 2022
✔ NPI 1215446042 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDentist · Oral and Maxillofacial SurgeryDental Providers
Taxonomy Code1223S0112X
Definition
An oral and maxillofacial surgery dentist specialized in the diagnosis, surgical and adjunctive treatment of diseases, injuries and defects involving both the functional and esthetic aspects of the hard and soft tissues of the oral and maxillofacial region.
3220 PROVIDENCE DR STE E3-080, Anchorage, AK 99508
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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 3

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

ANDREA CABALLERO M.D.
Internal Medicine (Infectious Disease)
3220 PROVIDENCE DR STE E3-080
ANCHORAGE, AK 99508
Anchorage Municipality (907) 375-8785
ALASKA LUNG AND NODULE CENTER LLC
Internal Medicine (Pulmonary Disease)
3220 PROVIDENCE DR STE E3-080
ANCHORAGE, AK 99508
Anchorage Municipality (907) 375-8785
ALASKA TRAUMA & ACUTE CARE SURGERY, LLC
Surgery
3220 PROVIDENCE DR STE E3-080
ANCHORAGE, AK 99508
Anchorage Municipality (907) 375-8785

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 Frontier Oral & Maxillofacial Surgery LLC's NPI number?

The NPI number for Frontier Oral & Maxillofacial Surgery LLC is 1215446042. It was assigned to this organization in the NPPES registry on September 25, 2017.

Where is Frontier Oral & Maxillofacial Surgery LLC located?

Frontier Oral & Maxillofacial Surgery LLC is located at 3220 Providence Dr Ste E3-080, Anchorage, AK 99508. The listed phone number is (907) 375-8785.

What is Frontier Oral & Maxillofacial Surgery LLC's specialty?

The primary specialty registered for this NPI is Dentist, specializing in Oral and Maxillofacial Surgery, with taxonomy code 1223S0112X.

When was this NPI record last updated?

The NPPES record for Frontier Oral & Maxillofacial Surgery LLC was last updated on July 21, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.