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Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

DR. PHYLLIS LYNN PENDERGRAST, DMD

Active

DR. PHYLLIS LYNN PENDERGRAST, DMD is a Dentist healthcare provider located in FAIRBANKS, Alaska. NPI 1457765471 is currently active in the NPPES registry. Verify at CMS.

Dentist · FAIRBANKS, AK

Registration Details

NPI Number
1457765471
Provider Type
Individual
Gender
Female
NPI Issued
Jun 18, 2014 (12.152860786931 yrs)
Last Updated
Jun 26, 2014
License
0477 (AK)

Practice Information

Address
3539 THOMAS ST
FAIRBANKS, AK, 99709
Browse AK providers · Browse ZIP 99709
Phone
9074527041
Fax
9074517166
Primary Specialty
Dentist
122300000X

Other Dentist Providers in FAIRBANKS, AK

Name Credential NPI
DR. WILLIAM FRANK CATELLI II D.D.S. 1912983800
DR. ELLE KIMBERLY LOVEJOY D.D.S. 1982675609
MINH KEVIN LEE DDS 1417985201
DR. DIANA M HELMBRECHT DDS 1336159227
GARY LEE SAWDY DDS 1124120258
DR. JAMES R MIEARS JR. PC 1932202215
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.