Overview
Name: MINNIE STREET CHILDREN’S DENTISTRY, PC
Specialty: Pediatric Dentist
Type of Practice: Organization
Provider/Org:
Medical School:
Graduation year from medical school:
Affiliation:
Specialties
Practice Type: Dental Providers
Classification: Dentist
Specialization: Pediatric Dentistry.
Definition of Specialty: An age-defined specialty that provides both primary and comprehensive preventive and therapeutic oral health care for infants and children through adolescence, including those with special health care needs.
License & NPI
License #(s): , , , ,
License State(s): , , , ,
Addresses
Practice Location: MINNIE STREET CHILDREN’S DENTISTRY, PC,114 MINNIE ST STE B,FAIRBANKS,AK,997013000,US
Mailing Address: MINNIE STREET CHILDREN’S DENTISTRY, PC,114 MINNIE ST STE B,FAIRBANKS,AK,997013000,US
Contact #
Practice location phone #: 9073082200
Practice location fax #:
Mailing address Phone #: 9073082200
Mailing Address fax #:
Authorized official Name/Telephone #:DR., GREGORY, L, JOHNSON, DDS, MEMBER 9074798844
Misc
Date NPI was obtained: 08/24/2021
Last data data was updated: 08/24/2021
Insurances: