Organization
NORTH STAR ORAL & FACIAL SURGERY, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. RICHARD WILLIAM HOMPESCH III DDS (SOLE OWNER)
(907) 374-8111
Entity
Organization
Contact information
Practice address
2009 COWLES ST, FAIRBANKS, AK 99701-5916
(907) 374-8111
(907) 374-8119
Mailing address
119 N CUSHMAN ST, STE 400, FAIRBANKS, AK 99701-2879
(907) 374-8111
(907) 374-8119
Taxonomy
Speciality
Code
Description
License number
State
261QS0112X
Oral and Maxillofacial Surgery Clinic/Center
Primary
105542
AK
Other
Enumeration date
08/23/2016
Last updated
08/23/2016
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