Provider Demographics
NPI:1386706737
Name:CAVE-MANSKER, REBECCA ANN (DDS)
Entity type:Individual
Prefix:DR
First Name:REBECCA
Middle Name:ANN
Last Name:CAVE-MANSKER
Suffix:
Gender:F
Credentials:DDS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:807 COLLEGE ROAD
Mailing Address - Street 2:
Mailing Address - City:FAIRBANKS
Mailing Address - State:AK
Mailing Address - Zip Code:99701-1552
Mailing Address - Country:US
Mailing Address - Phone:907-452-4288
Mailing Address - Fax:
Practice Address - Street 1:807 COLLEGE ROAD
Practice Address - Street 2:
Practice Address - City:FAIRBANKS
Practice Address - State:AK
Practice Address - Zip Code:99701-1552
Practice Address - Country:US
Practice Address - Phone:907-452-4288
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2006-12-14
Last Update Date:2010-03-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AK12911223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223G0001XDental ProvidersDentistGeneral Practice