PHYLLIS PENDERGRAST, D.M.D., A.P.C.
NPI 1639381429
Dentist in Fairbanks, AK

Q: What is Phyllis Pendergrast, D.M.D., A.P.C.'s NPI number?

The NPI number for Phyllis Pendergrast, D.M.D., A.P.C. is 1639381429. It was assigned to this organization in the NPPES registry on May 4, 2007.

Q: What is Phyllis Pendergrast, D.M.D., A.P.C.'s specialty?

The primary specialty registered for this NPI is Dentist with taxonomy code 122300000X.

Active since May 04, 2007

3539 THOMAS ST., FAIRBANKS, AK 99709(907) 452-7041(907) 451-7166 Get Directions Write a Review

NPPES record last updated: October 22, 2014. Verified against the NPPES registry weekly; last sync: August 09, 2026.

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About Phyllis Pendergrast, D.m.d., A.p.c. NPPES

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

PHYLLIS PENDERGRAST, D.M.D., A.P.C. (NPI 1639381429) is a healthcare organization registered as a dentist in Fairbanks, Alaska and active in the NPI registry since May 2007. The organization lists Phyllis L Pendergrast, Doctor, as its authorized official.

NPPES Registry Identity

NPI1639381429

Entity TypeOrganization

Primary Taxonomy122300000X

Legal Business NamePHYLLIS PENDERGRAST, D.M.D., A.P.C.

Location Address3539 THOMAS ST.Fairbanks, AK 99709-3833

Mailing Address3539 Thomas St.Fairbanks, AK 99709-3833 · (907) 452-7041 · Fax (907) 451-7166

Phone(907) 452-7041

Fax(907) 451-7166

Organization SubpartNo

Authorized OfficialPhyllis L PendergrastDoctor · (907) 457-6145

Enumeration DateMay 4, 2007

Last NPPES UpdateOctober 22, 2014

✔ NPI 1639381429 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDentistDental Providers

Taxonomy Code122300000X

License✔ Licensed in AK · 477

Definition

A dentist is a person qualified by a doctorate in dental surgery (D.D.S.) or dental medicine (D.M.D.), licensed by the state to practice dentistry, and practicing within the scope of that license. There is no difference between the two degrees: dentists who have a DMD or DDS have the same education. Universities have the prerogative to determine what degree is awarded. Both degrees use the same curriculum requirements set by the American Dental Association's Commission on Dental Accreditation. Generally, three or more years of undergraduate education plus four years of dental school is required to graduate and become a general dentist. State licensing boards accept either degree as equivalent, and both degrees allow licensed individuals to practice the same scope of general dentistry. Additional post-graduate training is required to become a dental specialist.

3539 THOMAS ST., 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

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 Phyllis Pendergrast, D.M.D., A.P.C.'s NPI number?

The NPI number for Phyllis Pendergrast, D.M.D., A.P.C. is 1639381429. It was assigned to this organization in the NPPES registry on May 4, 2007.

Where is Phyllis Pendergrast, D.M.D., A.P.C. located?

Phyllis Pendergrast, D.M.D., A.P.C. is located at 3539 Thomas St., Fairbanks, AK 99709. The listed phone number is (907) 452-7041.

What is Phyllis Pendergrast, D.M.D., A.P.C.'s specialty?

The primary specialty registered for this NPI is Dentist with taxonomy code 122300000X.

When was this NPI record last updated?

The NPPES record for Phyllis Pendergrast, D.M.D., A.P.C. was last updated on October 22, 2014. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 11 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.