Provider Demographics
NPI:1316784028
Name:KOKRINE, CURT JOSEPH II
Entity type:Individual
Prefix:
First Name:CURT
Middle Name:JOSEPH
Last Name:KOKRINE
Suffix:II
Gender:M
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1717 W COWLES ST
Mailing Address - Street 2:
Mailing Address - City:FAIRBANKS
Mailing Address - State:AK
Mailing Address - Zip Code:99701-5926
Mailing Address - Country:US
Mailing Address - Phone:907-452-8251
Mailing Address - Fax:
Practice Address - Street 1:PO BOX 90
Practice Address - Street 2:
Practice Address - City:HUSLIA
Practice Address - State:AK
Practice Address - Zip Code:99746-0090
Practice Address - Country:US
Practice Address - Phone:907-829-2253
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2024-07-10
Last Update Date:2024-09-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AK24-187-DHAT126800000X, 125K00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes125K00000XDental ProvidersAdvanced Practice Dental Therapist
No126800000XDental ProvidersDental Assistant