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

PHYLLIS PENDERGRAST, D.M.D., A.P.C.

Active Organization

PHYLLIS PENDERGRAST, D.M.D., A.P.C. is a Dentist organization located in FAIRBANKS, Alaska. NPI 1639381429 is currently active in the NPPES registry. Verify at CMS.

Dentist · FAIRBANKS, AK

Registration Details

NPI Number
1639381429
Provider Type
Organization
NPI Issued
May 4, 2007 (19.276684226902 yrs)
Last Updated
Oct 22, 2014
License
477 (AK)

Practice Information

Address
3539 THOMAS ST.
FAIRBANKS, AK, 997093833
Browse AK providers · Browse ZIP 99709
Phone
9074527041
Fax
9074517166
Primary Specialty
Dentist
122300000X
Data sourced from the NPPES National Provider Identifier registry. Healthcare organizations registered in NPPES are assigned an NPI number for use in insurance billing and claims. This information is for informational purposes only. For official verification, use the NPPES NPI Registry.