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FOUR CORNERS DENTAL GROUP FAIRBANKS
NPI 1710310073
Dentist - General Practice in Fairbanks, AK

Active since August 09, 2013
3487 AIRPORT WAY, FAIRBANKS, AK 99709(907) 479-7771(907) 479-7772 Get Directions Write a Review

NPPES record last updated: August 9, 2013. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Four Corners Dental Group Fairbanks NPPES

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

FOUR CORNERS DENTAL GROUP FAIRBANKS (NPI 1710310073) is a healthcare organization registered as a general practice in Fairbanks, Alaska and active in the NPI registry since August 2013. The organization lists Shane D Rhoton, Dentist, as its authorized official.

NPPES Registry Identity

NPI1710310073
Entity TypeOrganization
Primary Taxonomy1223G0001X
Legal Business NameFOUR CORNERS DENTAL GROUP FAIRBANKS
Location Address3487 AIRPORT WAYFairbanks, AK 99709-4761
Mailing Address3487 Airport WayFairbanks, AK 99709-4761 · (907) 479-7771 · Fax (907) 479-7772
Phone(907) 479-7771
Fax(907) 479-7772
Organization SubpartNo
Authorized OfficialShane D RhotonDentist · (907) 479-7771
Enumeration DateAugust 9, 2013
✔ NPI 1710310073 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDentist · General PracticeDental Providers
Taxonomy Code1223G0001X
License✔ Licensed in AK · 1262
Definition
A general dentist is the primary dental care provider for patients of all ages. The general dentist is responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs.
3487 AIRPORT WAY, Fairbanks, AK 99709
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Other Identifiers 1

MedicaidDD0143AK

Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Premera Blue Cross Blue Shield of Alaska.Insurance ›

Other Providers at the Same Location NPPES 6

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

ERNEST NATHANIEL SORENSEN D.D.S
Dentist
3487 AIRPORT WAY
FAIRBANKS, AK 99709
Fairbanks North Star Borough (907) 479-7771
DR. TANNER DOUGLAS ZYLSTRA DDS
Dentist
3487 AIRPORT WAY
FAIRBANKS, AK 99709
Fairbanks North Star Borough (907) 479-7771
DR. GENTRY TOONE DDS
Dentist
3487 AIRPORT WAY
FAIRBANKS, AK 99709
Fairbanks North Star Borough (907) 479-7771
BLAKE CHRISTIAN BARNEY DDS
Dentist
3487 AIRPORT WAY
FAIRBANKS, AK 99709
Fairbanks North Star Borough (907) 479-7771
DR. ANDREW WILLIAM ANDERSON DMD
Dentist
3487 AIRPORT WAY
FAIRBANKS, AK 99709
Fairbanks North Star Borough (907) 479-7771
JEFFERY TANNER BAIRD DMD
Dentist
3487 AIRPORT WAY
FAIRBANKS, AK 99709
Fairbanks North Star Borough (907) 479-7771

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 Four Corners Dental Group Fairbanks's NPI number?

The NPI number for Four Corners Dental Group Fairbanks is 1710310073. It was assigned to this organization in the NPPES registry on August 9, 2013.

Where is Four Corners Dental Group Fairbanks located?

Four Corners Dental Group Fairbanks is located at 3487 Airport Way, Fairbanks, AK 99709. The listed phone number is (907) 479-7771.

What is Four Corners Dental Group Fairbanks's specialty?

The primary specialty registered for this NPI is Dentist, specializing in General Practice, with taxonomy code 1223G0001X.

What insurance does Four Corners Dental Group Fairbanks accept?

Health plans from Premera Blue Cross Blue Shield of Alaska list Four Corners Dental Group Fairbanks 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 Four Corners Dental Group Fairbanks was last updated on August 9, 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.