# FAIRBANKS ORAL SURGERY, LLC

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- **Entity:** Organization
- **Status:** Active
- **Parent organization:** EAGLE ORAL & MAXILLOFACIAL SURGERY, PC
- **Organization subpart:** Yes

## Provider details

- **NPI number:** 1063710994
- **Legal business name:** EAGLE ORAL & MAXILLOFACIAL SURGERY, PC
- **Authorized official:** DR. SARAH JANE SATOW DMD (OWNER / PRESIDENT)
- **Authorized official phone:** (907) 388-1386

## Contact information

- **Practice address:** 12810 GLEN ALPS RD, ANCHORAGE, AK 99516-6956
- **Practice address phone:** (907) 388-1386
- **Practice address fax:** (907) 455-2010
- **Mailing address:** 114 MINNIE ST, SUITE D, FAIRBANKS, AK 99701-3006
- **Mailing address phone:** (907) 455-1040
- **Mailing address fax:** (907) 455-2010

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 1223S0112X | Oral and Maxillofacial Surgery (Dentist) | 164 | AK | Yes |

## Other

- **Enumeration date:** 03/01/2011
- **Last updated:** 03/01/2011