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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 Specialty Code Provider Type

Oral and Maxillofacial Surgery

261QS0112X
Indicates primary specialty

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

NPI # 1316492960
LBN Legal business name NORTH STAR ORAL & FACIAL SURGERY, LLC
Authorized official RICHARD HOMPESCH - (SOLE OWNER)
Entity Organization
Organization subpart 1 No
Enumeration date 08/23/2016
Last updated 08/23/2016 - About 10 years ago
Identifiers
AK License # 105542
1 Some organization health care providers are made up of components that furnish different types of health care or have separate physical locations where health care is furnished. These components and physical locations are not themselves legal entities, but are part of the organization health care provider (which is a legal entity). A covered organization provider may decide that its subparts (if it has any) should have their own NPI numbers. If a subpart conducts any HIPAA standard transactions on its own (e.g., separately from its parent), it must obtain its own NPI number.

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