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

Perry Levi Dominick

Individual provider Peer Specialist · NPI 1780527143

Perry Levi Dominick is a Peer Specialist in Fairbanks, Alaska. Licensed in Alaska. Registered with an NPI since 2026.

Licensed in
AK
In the registry since
2026

Practice location Address checks out

107 7th Ave
Fairbanks, AK 99701-5063
Phone: (907) 313-1333
Show map & directions

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

Specialties & licences

Peer Specialist (primary) Taxonomy 175T00000X (AK)

Record details

NPI number1780527143
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorNo
NPI enumeratedApril 10, 2026
Last updated in NPPESApril 10, 2026
Certification dateApril 10, 2026
Mailing address591 S Knik Goose Bay Rd, Wasilla, AK 99654-8062

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