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

Minnie Street Children's Dentistry, PC

Organization Pediatric Dentistry · NPI 1770250292

Minnie Street Children's Dentistry, PC is a Pediatric Dentistry in Fairbanks, Alaska. Registered with an NPI since 2021.

In the registry since
2021
What do these letters mean?
PC — Professional corporation
A form of business registration, not a clinical qualification.

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Practice location Address checks out

114 Minnie St Ste B
Fairbanks, AK 99701-3000
Phone: (907) 308-2200
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Pediatric Dentistry (primary) Taxonomy 1223P0221X

Record details

NPI number1770250292
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Gregory Johnson — Member · (907) 479-8844
Other names Rising Stars Children'S Dentistry
NPI enumeratedAugust 24, 2021
Last updated in NPPESAugust 24, 2021
Certification dateAugust 24, 2021
Mailing address114 Minnie St Ste B, Fairbanks, AK 99701-3000

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