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MINNIE STREET CHILDREN'S DENTISTRY, PC
NPI 1770250292
Dentist - Pediatric Dentistry in Fairbanks, AK

Active since August 24, 2021
114 MINNIE ST STE B, FAIRBANKS, AK 99701(907) 308-2200 Get Directions Write a Review

NPPES record last updated: August 24, 2021. Verified against the NPPES registry weekly; last sync: October 04, 2026.

About Minnie Street Children's Dentistry, Pc NPPES

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

MINNIE STREET CHILDREN'S DENTISTRY, PC (NPI 1770250292), doing business as Rising Stars Children's Dentistry, is a healthcare organization registered as a pediatric dentistry in Fairbanks, Alaska and active in the NPI registry since August 2021. The organization lists Gregory L Johnson, Member, as its authorized official.

NPPES Registry Identity

NPI1770250292
Entity TypeOrganization
Primary Taxonomy1223P0221X
Legal Business NameMINNIE STREET CHILDREN'S DENTISTRY, PC
Location Address114 MINNIE ST STE BFairbanks, AK 99701-3000
Mailing Address114 Minnie St Ste BFairbanks, AK 99701-3000 · (907) 308-2200
Phone(907) 308-2200
Organization SubpartNo
Authorized OfficialGregory L JohnsonMember · (907) 479-8844
Enumeration DateAugust 24, 2021
NPPES CertifiedAugust 24, 2021
✔ NPI 1770250292 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.
114 MINNIE ST STE B, Fairbanks, AK 99701
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Other Names 1

Doing Business AsRising Stars Children's Dentistry

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

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include UnitedHealthcare.Insurance ›

Other Providers at the Same Location NPPES 2

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

DAVID C HOBSON DDS MS PC
Dentist (Orthodontics and Dentofacial Orthopedics)
114 MINNIE ST STE B
FAIRBANKS, AK 99701
Fairbanks North Star Borough (907) 457-7878
AURORA DENTAL HYGIENE CARE LLC
Clinic/Center (Dental)
114 MINNIE ST STE B
FAIRBANKS, AK 99701
Fairbanks North Star Borough (907) 251-1590

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 Minnie Street Children's Dentistry, PC's NPI number?

The NPI number for Minnie Street Children's Dentistry, PC is 1770250292. It was assigned to this organization in the NPPES registry on August 24, 2021. The provider is doing business as Rising Stars Children's Dentistry.

Where is Minnie Street Children's Dentistry, PC located?

Minnie Street Children's Dentistry, PC is located at 114 Minnie St Ste B, Fairbanks, AK 99701. The listed phone number is (907) 308-2200.

What is Minnie Street Children's Dentistry, PC's specialty?

The primary specialty registered for this NPI is Dentist, specializing in Pediatric Dentistry, with taxonomy code 1223P0221X.

What insurance does Minnie Street Children's Dentistry, PC accept?

Health plans from UnitedHealthcare list Minnie Street Children's Dentistry, PC 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 Minnie Street Children's Dentistry, PC was last updated on August 24, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.