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MOOSE'S TOOTH CHILDREN'S DENTISTRY, LLC
NPI 1639666530
Dentist - Pediatric Dentistry in North Pole, AK

Active since April 16, 2018
167 S SANTA CLAUS LN STE B, NORTH POLE, AK 99705(907) 268-6644(907) 268-6670 Get Directions Write a Review

NPPES record last updated: April 16, 2018. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Moose's Tooth Children's Dentistry, Llc NPPES

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

MOOSE'S TOOTH CHILDREN'S DENTISTRY, LLC (NPI 1639666530) is a healthcare organization registered as a pediatric dentistry in North Pole, Alaska and active in the NPI registry since April 2018. The organization lists Dallin Young, Owner/president, as its authorized official.

NPPES Registry Identity

NPI1639666530
Entity TypeOrganization
Primary Taxonomy1223P0221X
Legal Business NameMOOSE'S TOOTH CHILDREN'S DENTISTRY, LLC
Location Address167 S SANTA CLAUS LN STE BNorth Pole, AK 99705-7755
Mailing Address114 Minnie St Ste AFairbanks, AK 99701-3000
Phone(907) 268-6644
Fax(907) 268-6670
Organization SubpartNo
Authorized OfficialDallin YoungOwner/president · (208) 404-9888
Enumeration DateApril 16, 2018
✔ NPI 1639666530 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.
167 S SANTA CLAUS LN STE B, North Pole, AK 99705
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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 Moose's Tooth Children's Dentistry, LLC's NPI number?

The NPI number for Moose's Tooth Children's Dentistry, LLC is 1639666530. It was assigned to this organization in the NPPES registry on April 16, 2018.

Where is Moose's Tooth Children's Dentistry, LLC located?

Moose's Tooth Children's Dentistry, LLC is located at 167 S Santa Claus Ln Ste B, North Pole, AK 99705. The listed phone number is (907) 268-6644.

What is Moose's Tooth Children's Dentistry, LLC'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 Moose's Tooth Children's Dentistry, LLC was last updated on April 16, 2018. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 8 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.