National Provider Identifier Database

NORTH STAR ORAL FACIAL SURGERY LLC
Oral and Maxillofacial Surgery

The specialty of dentistry which includes the diagnosis, surgical and adjunctive treatment of diseases, injuries and defects involving both the functional and esthetic aspects of the hard and soft tissues of the oral and maxillofacial region.


Contact Information

NORTH STAR ORAL & FACIAL SURGERY, LLC
2009 COWLES ST
FAIRBANKS, AK99701-5916
Phone: 907-374-8111
Fax: 907-374-8119
Website:
Specialty Taxonomy Code
* Oral and Maxillofacial Surgery 261QS0112X

* Indicates primary specialty

NPI Profile & details for NORTH STAR ORAL & FACIAL SURGERY, LLC

NPI Number 1316492960
Legal business name
LBN
NORTH STAR ORAL & FACIAL SURGERY, LLC
Authorized official RICHARD HOMPESCH - (SOLE OWNER)
Entity Organization
Organization subpart No
Enumeration date 08/23/2016
Last updated 08/23/2016 - About 10 years ago
Sole proprietor1 Not specified
Identifiers
  • AK License #: 105542

1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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