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FAIRBANKS ORTHODONTIC GROUP, A PROFESSIONAL CORPORATION
NPI 1376982918
Clinic/Center - Dental in Fairbanks, AK

Active since June 17, 2013
1919 LATHROP ST, SUITE 102, FAIRBANKS, AK 99701(907) 452-2939(907) 451-7330 Get Directions Write a Review

NPPES record last updated: June 17, 2013. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Fairbanks Orthodontic Group, A Professional Corporation NPPES

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

FAIRBANKS ORTHODONTIC GROUP, A PROFESSIONAL CORPORATION (NPI 1376982918) is a healthcare organization registered as a dental in Fairbanks, Alaska and active in the NPI registry since June 2013. The organization lists Jessica Woller, Orthodontist, as its authorized official.

NPPES Registry Identity

NPI1376982918
Entity TypeOrganization
Primary Taxonomy261QD0000X
Legal Business NameFAIRBANKS ORTHODONTIC GROUP, A PROFESSIONAL CORPORATION
Location Address1919 LATHROP ST, SUITE 102Fairbanks, AK 99701-5937
Mailing Address1919 Lathrop St, Suite 102Fairbanks, AK 99701-5937 · (907) 452-2939 · Fax (907) 451-7330
Phone(907) 452-2939
Fax(907) 451-7330
Organization SubpartNo
Authorized OfficialJessica WollerOrthodontist · (907) 452-2939
Enumeration DateJune 17, 2013
✔ NPI 1376982918 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyClinic/Center · DentalAmbulatory Health Care Facilities
Taxonomy Code261QD0000X
License✔ Licensed in AK · 1249
1919 LATHROP ST, Fairbanks, AK 99701
Open in Google Maps ↗

Other Identifiers 1

MedicaidGR0227AK

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.

EYE CLINIC OF FAIRBANKS, INC
Ophthalmology
1919 LATHROP ST, SUITE 103
FAIRBANKS, AK 99701
Fairbanks North Star Borough (907) 456-7760
FAIRBANKS ORTHODONTIC GROUP A PROF CORP
Dentist (Orthodontics and Dentofacial Orthopedics)
1919 LATHROP ST, SUITE 102
FAIRBANKS, AK 99701
Fairbanks North Star Borough (907) 452-2939
EAR NOSE & THROAT CLINIC INC.
Otolaryngology
1919 LATHROP ST, SUITE 103
FAIRBANKS, AK 99701
Fairbanks North Star Borough (907) 456-7768
MRS. SHANNON KAY RHOTON MSN, FNP-BC
Nurse Practitioner (Family)
1919 LATHROP ST, SUITE 217
FAIRBANKS, AK 99701
Fairbanks North Star Borough (907) 456-8191
PRESCRIPTION CENTER LLC
Pharmacy (Community/Retail Pharmacy)
1919 LATHROP ST, SUITE 109
FAIRBANKS, AK 99701
Fairbanks North Star Borough (907) 452-1514
STARKS MD LLC
Internal Medicine
1919 LATHROP ST, STE 204
FAIRBANKS, AK 99701
Fairbanks North Star Borough (907) 452-4822
STEFAN LEO-NYQUIST DO
Family Medicine
1919 LATHROP ST
FAIRBANKS, AK 99701
Fairbanks North Star Borough (907) 458-2619
DAVID BOYD ATC
Specialist/Technologist (Athletic Trainer)
1919 LATHROP ST, SUITE 123
FAIRBANKS, AK 99701
Fairbanks North Star Borough (907) 455-4401

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 Professional Corporation's NPI number?

The NPI number for Fairbanks Orthodontic Group, A Professional Corporation is 1376982918. It was assigned to this organization in the NPPES registry on June 17, 2013.

Where is Fairbanks Orthodontic Group, A Professional Corporation located?

Fairbanks Orthodontic Group, A Professional Corporation 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 Professional Corporation's specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in Dental, with taxonomy code 261QD0000X.

When was this NPI record last updated?

The NPPES record for Fairbanks Orthodontic Group, A Professional Corporation was last updated on June 17, 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.