Individual
CHRISTOPHER G FEARON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DMD
Contact information
Practice address
BUILDING 634, POSTAL LOOP 7500, US ARMY DENTAL CLINIC, FORT RICHARDSON, AK 99505-7500
(907) 384-3079
Mailing address
BUILDING 634 POSTAL LOOP 7500, US ARMY DENTAL CLINIC, FORT RICHARDSON, AK 99505-7500
(907) 384-3079
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
1157
AK
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
DD115FQ
—
AK
Enumeration date
11/29/2006
Last updated
09/05/2008
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