Individual provider · Type 1 NPI
Jessica L. Woller, DMD, MSD, CO
Orthodontics and Dentofacial Orthopedics Dentistry · Fairbanks, AK
Practice location
1919 Lathrop St, Suite 102
Fairbanks, AK 99701-5937
Fax (907) 451-7330
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Dentist | 122300000X | 1249 (AK) |
| Orthodontics and Dentofacial Orthopedics Dentistry Primary | 1223X0400X | 162 (AK) |
Orthodontics and Dentofacial Orthopedics Dentistry: That area of dentistry concerned with the supervision, guidance and correction of the growing or mature dentofacial structures, including those conditions that require movement of teeth or correction of malrelationships and malformations of their related structures and the adjustment of relationships between and among teeth and facial bones by the application of forces and/or the stimulation and redirection of funct…
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About NPI 1164653473
Jessica L. Woller, DMD, MSD, CO's National Provider Identifier is 1164653473, issued on Aug 4, 2009. The primary taxonomy on file is Orthodontics and Dentofacial Orthopedics Dentistry (1223X0400X), and the practice location is in Fairbanks, AK. The record was last updated on Oct 29, 2009.