Provider Demographics
NPI:1427265917
Name:MICHAEL J. HELMBRECHT, D.D.S., P.C.
Entity type:Organization
Organization Name:MICHAEL J. HELMBRECHT, D.D.S., P.C.
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:DR
Authorized Official - First Name:MICHAEL
Authorized Official - Middle Name:J
Authorized Official - Last Name:HELMBRECHT
Authorized Official - Suffix:
Authorized Official - Credentials:DDS
Authorized Official - Phone:907-456-1237
Mailing Address - Street 1:421 3RD ST
Mailing Address - Street 2:
Mailing Address - City:FAIRBANKS
Mailing Address - State:AK
Mailing Address - Zip Code:99701-3506
Mailing Address - Country:US
Mailing Address - Phone:907-456-1237
Mailing Address - Fax:907-452-4778
Practice Address - Street 1:421 3RD ST
Practice Address - Street 2:
Practice Address - City:FAIRBANKS
Practice Address - State:AK
Practice Address - Zip Code:99701-3506
Practice Address - Country:US
Practice Address - Phone:907-456-1237
Practice Address - Fax:907-452-4778
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-05-16
Last Update Date:2014-08-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AK563122300000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes122300000XDental ProvidersDentistGroup - Single Specialty