Sargent, John W
Sargent, John W is an sole proprietor health care provider with primary practice located at 3112 Airport Way Ste #1, Fairbanks AK 99709. He recently has only one registered license in Dental Providers / Dentist, which is considered as his primary health care specialty. Sargent, John W can be contacted via phone (907) 452-1250.Contact Information
Primary practice address
3112 Airport Way Ste #1
Fairbanks AK 99709
Phone: (907) 452-1250
Fax: (907) 456-1307
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Dental Providers / Dentist | 122300000X | 298 | Alaska |
Profile Details
| NPI number | 1063541886 |
|---|---|
| LBN Legal business name | Sargent, John W |
| Credentials | Doctor of Dental Surgery (DDS) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Mar 5th, 2007 |
| Last updated | Mar 31st, 2010 - about 15 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1063541886 | NPPES |
| Alaska | Other | 000783712 | UNITED CONCORDIA |
| Alaska | MEDICAID | DD0298 | UNITED CONCORDIA |
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