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DR. MICHAEL JOHN STOLTZ DMD
NPI 1417074618
Dentist - Oral and Maxillofacial Surgery in Fairbanks, AK

Active since March 23, 2007PECOS Enrolled
3112 AIRPORT WAY, SUITE 1, FAIRBANKS, AK 99709(907) 452-1250(907) 456-1307 Get Directions Write a Review

NPPES record last updated: July 6, 2023. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Jul 6, 2023, Jun 12, 2023 (2 updates tracked since 2023).

About Dr. Michael John Stoltz Dmd NPPES

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

DR. MICHAEL JOHN STOLTZ DMD (NPI 1417074618) is an individual oral and maxillofacial surgery provider in Fairbanks, Alaska, licensed in Alaska (DEND745) and active in the NPI registry since March 2007. He is enrolled in Medicare PECOS and is a graduate of Oregon Health & Sciences Univ School Of Dentistry (1991).

NPPES Registry Identity

NPI1417074618
Entity TypeIndividualMale
Primary Taxonomy1223S0112X
Provider Legal NameDR. MICHAEL JOHN STOLTZCredential: DMD
Location Address3112 AIRPORT WAY, SUITE 1Fairbanks, AK 99709
Mailing Address3112 Airport Way, Suite 1Fairbanks, AK 99709 · (907) 452-1250 · Fax (907) 456-1307
Phone(907) 452-1250
Fax(907) 456-1307
Sole ProprietorNo
Medical School CMSOregon Health & Sciences Univ School Of DentistryGraduated 1991
Enumeration DateMarch 23, 2007
Last NPPES UpdateJuly 6, 20232 updates tracked since enumeration
NPPES CertifiedJuly 6, 2023
✔ NPI 1417074618 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyDentist · Oral and Maxillofacial SurgeryDental Providers
Taxonomy Code1223S0112X
License✔ Licensed in AK · DEND745
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.
Also ListedDentist · General PracticeTaxonomy 1223G0001X · License 745 (AK)
3112 AIRPORT WAY, Fairbanks, AK 99709
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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Delta Dental of Alaska, Moda Health Plan, Inc., Premera Blue Cross Blue Shield of Alaska.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Dr. Michael John Stoltz Dmd is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID5294014213
PECOS Enrollment IDI20231206002113
Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency– Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 99709 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$111.57 typical visit price
range $71.33 – $222.64
Typical copayment $27.89 (range $17.83 – $55.66)
Most-billed visit code 99203
Established Patient
$90.40 typical visit price
range $21.84 – $181.48
Typical copayment $22.60 (range $5.46 – $45.37)
Most-billed visit code 99213
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Other Providers at the Same Location NPPES 5

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

JOHN W SARGENT DDS
Dentist
3112 AIRPORT WAY, STE #1
FAIRBANKS, AK 99709
Fairbanks North Star Borough (907) 452-1250
DR. DANIEL MICHAEL BERGERON DDS
Dentist (General Practice)
3112 AIRPORT WAY, SUITE 2
FAIRBANKS, AK 99709
Fairbanks North Star Borough (907) 456-5600
DR. BROCK FRED TIDSTROM DDS
Dentist (General Practice)
3112 AIRPORT WAY, SUITE 1
FAIRBANKS, AK 99709
Fairbanks North Star Borough (907) 452-1250
DR. BRIAN ALAN PARKER D.D.S
Dentist (General Practice)
3112 AIRPORT WAY, SUITE 1
FAIRBANKS, AK 99709
Fairbanks North Star Borough (907) 475-1250
FAIRBANKS DENTAL CENTER LLC
Durable Medical Equipment & Medical Supplies (Customized Equipment)
3112 AIRPORT WAY, SUITE 1
FAIRBANKS, AK 99709
Fairbanks North Star Borough (907) 452-1250

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 Michael Stoltz's NPI number?

The NPI number for Michael Stoltz is 1417074618. It was assigned to this individual provider in the NPPES registry on March 23, 2007.

Where is Michael Stoltz located?

Michael Stoltz practices at 3112 Airport Way Suite 1, Fairbanks, AK 99709. The listed phone number is (907) 452-1250.

What is Michael Stoltz's specialty?

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

Is Michael Stoltz enrolled in Medicare?

Yes. Michael Stoltz is registered in the Medicare PECOS enrollment system.

What insurance does Michael Stoltz accept?

Health plans from Delta Dental of Alaska, Moda Health Plan, Inc. and Premera Blue Cross Blue Shield of Alaska list Michael Stoltz 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 Michael Stoltz was last updated on July 6, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.