MEDICARE: DR. DAVID LEE SULKOSKY DDS

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	1223G0001X	General Practice Dentistry	452	AK

General Provider Information

NPI Number	:	1659563757
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. DAVID LEE SULKOSKY DDS

Provider Business Mailing Address
First Line	:	PO BOX 80388
Second Line	:
City	:	FAIRBANKS
State	:	AK
Zip	:	99708-0388
Country	:	US
Telephone Number	:	907-374-0404
Fax Number	:	907-374-0404

Provider Business Practice Location Address
First Line	:	1325 WAKE FOREST WAY
Second Line	:
City	:	FAIRBANKS
State	:	AK
Zip	:	99709-3224
Country	:	US
Telephone Number	:	907-374-0404
Fax Number	:	907-374-0404

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	08/13/2007
Last Update Date	:	08/13/2007

Similar Medicare Providers

1497424188 — MICHAEL CORNEA-HASEGAN DPT
Practice Location Address:

3455 REWAK DR STE 106
FAIRBANKS, AK
99709-5024

Practice Phone: 907-457-5322
Practice Fax:

1952257800 — JUSTICE VALETTE FARMER
Practice Location Address:

1825 MARIKA RD
FAIRBANKS, AK
99709-5521

Practice Phone: 907-474-0890
Practice Fax: 907-474-3621

1376261602 — CASSIE THACKER JACKSON MASTER OF EDUCATION
Practice Location Address:

4987 MURPHY DOME RD
FAIRBANKS, AK
99709-5974

Practice Phone: 907-888-2082
Practice Fax:

1154277713 — ASHLEY GARRISON
Practice Location Address:

1825 MARIKA RD
FAIRBANKS, AK
99709-5521

Practice Phone: 907-474-0890
Practice Fax: 907-474-3621

1497759476 — WARBELOW'S AIR VENTURES, INC.
Practice Location Address:

3758 UNIVERSITY AVE S
FAIRBANKS, AK
99709-4658

Practice Phone: 907-374-6213
Practice Fax: 907-474-3821

1336145788 — ALFRED DAVID DERAMUS M.D.
Practice Location Address:

4001 GEIST RD , STE 9
FAIRBANKS, AK
99709-3569

Practice Phone: 907-479-0852
Practice Fax: 907-479-0859

Directions to “ DR. DAVID LEE SULKOSKY DDS” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2026 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.