# Fairbanks Orthodontic Group a Prof Corp

- **NPI:** 1013084680
- **NPI Type:** Organization
- **Status:** Active
- **Enumeration date:** 2006-11-29
- **Last updated:** 2013-08-07
- **Practice address:** 1919 Lathrop St, Suite 102, Fairbanks, AK 99701
- **Mailing address:** 1919 Lathrop St, Suite 102, Fairbanks, AK 99701
- **Phone:** 907-452-2939

## Taxonomy

| Code | Description | License | State | Primary |
| --- | --- | --- | --- | --- |
| 122300000X | Dentist | AK330 | AK | No |
| 1223X0400X | Dentist, Orthodontics and Dentofacial Orthopedics | AK9 | AK | Yes |

## Provider directory

- [Dentists in Alaska](https://www.verifytx.com/npi-lookup/taxonomy/dentist/AK/)
- [Psychologists in Alaska](https://www.verifytx.com/npi-lookup/taxonomy/psychologist/AK/)
- [Counselors in Alaska](https://www.verifytx.com/npi-lookup/taxonomy/counselor/AK/)
- [Substance use rehabilitation facilities in Alaska](https://www.verifytx.com/npi-lookup/taxonomy/substance-abuse-rehabilitation-facility/AK/)
- [Psychiatric hospitals in Alaska](https://www.verifytx.com/npi-lookup/taxonomy/psychiatric-hospital/AK/)
- [Psychiatric residential treatment facilities in Alaska](https://www.verifytx.com/npi-lookup/taxonomy/psychiatric-residential-treatment-facility/AK/)

## Data Notice:

The information provided by VerifyTreatment (VerifyTX) is sourced from the publicly available NPPES database, in accordance with the NPPES Data Dissemination Notice, Freedom of Information Act (FOIA), and e-FOIA amendments. Data is offered “as is” without warranty as to accuracy or reliability. For official NPI assistance, contact the NPI Enumerator at (800) 465-3203 or P.O. Box 6059, Fargo, ND 58108.

---

Canonical: https://www.verifytx.com/npi-lookup/npis/1013084680/