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Jodi L Crandall, DHAT
Dental Therapist in Wasilla, Alaska
NPI 1679270748

Jodi L Crandall is a Dental Therapist based in Wasilla, AK. Jodi L Crandall practices in Wasilla, AK and has the professional credentials of DHAT. The NPI Number for Jodi L Crandall is 1679270748 and holds a License No. 23-173-DHAT (Alaska).

The current practice location address for Jodi L Crandall is 1001 S Knik Goose Bay Rd, Wasilla, AK and can be reached out via phone at 190-729-7690.

Location: 1001 S Knik Goose Bay Rd, Wasilla, AK, 99654-8083
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1679270748
Provider Name
Jodi L Crandall
Credential
DHAT
Provider Entity Type
Individual
Gender
Female
Address
1001 S Knik Goose Bay Rd, Wasilla, AK, 99654-8083
Phone Number
190-729-7690
Fax Number
Provider Enumeration Date
02/09/2023
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
1001 S Knik Goose Bay Rd
City
Wasilla
State
Alaska
Zip
99654-8083
Phone Number
190-729-7690
Fax Number
person
Provider Business Mailing Address Details
Address
1001 S Knik Goose Bay Rd
City
Wasilla
State
Alaska
Zip
99654-8083
Phone Number
190-729-7690
Fax Number
person
Provider's Taxonomy Details 1
Type
Dental Providers
Classification
Dental Therapist
Speciality
-
Taxonomy
125J00000X
License No.
23-173-DHAT (Alaska)
Definition
A Dental Therapist is an individual who has completed an accredited or non-accredited dental therapy program and who has been authorized by the relevant state board or a tribal entity to provide services within the scope of their practice under the supervision of a dentist. Functions that may be delegated to the dental therapist vary based on the needs of the dentist, the educational preparation of the dental therapist and state dental practice acts and regulations.
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