# ALASKA ORAL & FACIAL SURGERY CENTER INC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1912919895
- **Authorized official:** STEPHEN H SUTLEY D.D.S. (ORAL SURGEON)
- **Authorized official phone:** (907) 452-4101

## Contact information

- **Practice address:** 1275 SADLER WAY, SUITE 202, FAIRBANKS, AK 99701-3171
- **Practice address phone:** (907) 452-4101
- **Practice address fax:** (907) 452-4102
- **Mailing address:** 1275 SADLER WAY, SUITE 202, FAIRBANKS, AK 99701-3171
- **Mailing address phone:** (907) 452-4101
- **Mailing address fax:** (907) 452-4102

## Taxonomy

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

## Other

- **Enumeration date:** 08/12/2006
- **Last updated:** 08/16/2007