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

Fairbanks Orthodontic Group a Prof Corp

Organization Dentist · NPI 1013084680

Fairbanks Orthodontic Group a Prof Corp is a Dentist in Fairbanks, Alaska. Licensed in Alaska. Registered with an NPI since 2006.

Licensed in
AK
In the registry since
2006
Specialties on file
2
What do these letters mean?
Corp — Corporation
A form of business registration, not a clinical qualification.

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Practice location Address checks out

1919 Lathrop St Ste 102
Fairbanks, AK 99701
Phone: (907) 452-2939
Fax: (907) 451-7330
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Orthodontics and Dentofacial Orthopedics Dentistry (primary) Taxonomy 1223X0400X · Licence AK9 (AK)
Dentist Taxonomy 122300000X · Licence AK330 (AK)

Record details

NPI number1013084680
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Walt Babula — President Orthodontist · (907) 452-2939
NPI enumeratedNovember 29, 2006
Last updated in NPPESAugust 7, 2013
Mailing address1919 Lathrop St, Suite 102, Fairbanks, AK 99701

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