Phyllis Pendergrast, D.m.d., A.p.c.

NPI #1639381429 in Fairbanks, Alaska

Provider Information

NPI Number: 1639381429
Entity Type: Organization
Organization Name: Phyllis Pendergrast, D.m.d., A.p.c.
Primary Specialty: Dentist
Enumeration Date: May 4, 2007
Last Updated: Oct 22, 2014

Practice Location

Address: 3539 THOMAS ST.
City: Fairbanks
State: Alaska
ZIP Code: 99709-3833
Phone: (907) 452-7041

Authorized Official

Name: DR. PHYLLIS L PENDERGRAST, D.M.D,
Title: DOCTOR
Phone: (907) 457-6145

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Dentist	122300000X	Primary

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