Dr. Roxana Mirabal, D.M.D
Dentist in Fairbanks, AK. Individual provider (NPI-1).
NPI number1528299948
StatusActive
Last updated in NPPESFeb 14, 2013
Details
- NPI
- 1528299948
- Entity type
- Individual (NPI-1)
- Name
- Dr. Roxana Mirabal
- Credential
- D.M.D
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- Aug 3, 2009
- Last updated
- Feb 14, 2013
Medicare and OIG
- Medicare enrolled (PECOS)
- Yes · ORDER AND REFERRING ONLY - OTHER (PHYSICIAN)
- Can order and refer
- Part B Yes · DME Yes · Home health Yes · Power mobility No · Hospice Yes
- OIG exclusion list
- This NPI is not listed
CMS and OIG files of November 2026. PECOS lookup · OIG exclusion check
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 122300000X | Dentist | DNO13951 | GA | Yes |
Practice location
1717 West Cowles St.Fairbanks, AK 99701-5926
Phone 706-255-2879
Mailing address
1717 W. Cowles St.Fairbanks, AK 99701-5926
Phone 907-452-8251
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