Woller, Jessica L

Woller, Jessica L is an individual health care provider with primary practice located at 1919 Lathrop St Suite 102, Fairbanks AK 99701-5937. She recently has 2 registered licenses in different health care specialties including Dental Providers / Dentist, Dental Providers / Orthodontics and Dentofacial Orthopedics. Dental Providers / Orthodontics and Dentofacial Orthopedics is her primary health care specialty. Woller, Jessica L can be contacted via phone (907) 452-2939.

Contact Information

Primary practice address
1919 Lathrop St Suite 102 Fairbanks AK 99701-5937
Phone: (907) 452-2939
Fax: (907) 451-7330
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Dental Providers / Dentist 122300000X 1249 Alaska
Dental Providers / Orthodontics and Dentofacial Orthopedics 1223X0400X 162 Alaska

Profile Details

NPI number 1164653473
LBN Legal business name Woller, Jessica L
Credentials DMD, MSD, CO
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 4th, 2009
Last updated Oct 29th, 2009 - about 16 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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