Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Fairbanks Oral Surgery, LLC

Organization Oral and Maxillofacial Surgery (Dentist) · NPI 1063710994

Fairbanks Oral Surgery, LLC is an Oral and Maxillofacial Surgery (Dentist) in Anchorage, Alaska. Licensed in Alaska. Registered with an NPI since 2011.

Licensed in
AK
In the registry since
2011
What do these letters mean?
LLC — Limited liability company
A form of business registration, not a clinical qualification.

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Practice location Address checks out

12810 Glen Alps Rd
Anchorage, AK 99516-6956
Phone: (907) 388-1386
Fax: (907) 455-2010
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Oral and Maxillofacial Surgery (Dentist) (primary) Taxonomy 1223S0112X · Licence 164 (AK)

Record details

NPI number1063710994
Entity typeOrganization (Type 2)
Organization subpartYes
Parent organizationEagle Oral & Maxillofacial Surgery, PC
Authorized official Sarah Satow — Owner / President · (907) 388-1386
NPI enumeratedMarch 1, 2011
Last updated in NPPESMarch 1, 2011
Mailing address114 Minnie St, Suite D, Fairbanks, AK 99701-3006

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