Individual
JOHN W SARGENT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
3112 AIRPORT WAY, STE #1, FAIRBANKS, AK 99709
(907) 452-1250
(907) 456-1307
Mailing address
3112 AIRPORT WAY, STE #1, FAIRBANKS, AK 99709
(907) 452-1250
(907) 456-1307
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
298
AK
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000783712
UNITED CONCORDIA
AK
05
—
DD0298
—
AK
Enumeration date
03/05/2007
Last updated
03/31/2010
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