Dr. Michael Richard Kwasinski
Dental Public Health Dentist - General Practice
122 1st Ave Suite 600
Fairbanks
, Alaska 99701-4803
Dr. Michael Richard Kwasinski
Dental Public Health Dentist - General Practice
122 1st Ave Suite 600
Fairbanks
, Alaska 99701-4803
(907) 474-0715
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About
Features
Specialties
- Dental Public Health
- General Practice
Languages spoken
- English
Location
First Address
- Dr. Michael Richard Kwasinski
- 798 Cranberry Ridge Dr
- Fairbanks, AK
- Zip : 99712-1103
- Phone : (907) 474-0715
Second Address
- Dr. Michael Richard Kwasinski
- 122 1st Ave Suite 600
- Fairbanks, AK
- Zip : 99701-4803
- Phone : (907) 452-8251
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| N | 1223D0001X | Dental Public Health | 933 | AK |
| Y | 1223G0001X | General Practice | 933 | AK |
| Y | 213EG0000X | General Practice | 933 | AK |
National Provider Identifier
| NPI | 1255362901 |
|---|---|
| Provider Name | Dr. Michael Richard Kwasinski |
| First Address | Fairbanks, AK 99712-1103 |
| Second Address | Fairbanks, AK 99701-4803 |
| Gender | M |
| NPI Entity type | Individual |
| Is Sole Proprietor | No |
| Is Organization Subpart | N/A |
| Enumeration Date | 05/07/2006 |
| Last Update Date | 19/02/2013 |
NPI Footnotes
What is the National Provider Identifier (NPI)
Provider Location Address
Provider Mailing Address
Entity Type Code
1= Person: individual human being who furnishes health care;
2= Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)
What is a Subpart?
Provider Other Organization Name
1 = former name;
2 = professional name;
3 = doinq business as (d/b/ a) name;
4 = former legal business name;
5 = other.