Individual
DR. DENNIS P DUSSMAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DMD
Contact information
Practice address
3535 COLLEGE RD, SUITE 202, FAIRBANKS, AK 99709-3710
(907) 479-8230
(907) 479-4759
Mailing address
3535 COLLEGE RD, SUITE 202, FAIRBANKS, AK 99709-3710
(907) 479-8230
(907) 479-4759
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
0561
AK
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
00638684
STATE EMPLOYER NUMBER
AK
Enumeration date
09/25/2006
Last updated
07/08/2007
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