Individual provider · Type 1 NPI
Derick Jack Sovereign, DMD
Dentist · Wasilla, AK
Practice location
3765 E Blue Lupine Dr Ste A
Wasilla, AK 99654-8417
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Dentist Primary | 122300000X | 224623 (AK) |
Dentist: A dentist is a person qualified by a doctorate in dental surgery (D.D.S.) or dental medicine (D.M.D.), licensed by the state to practice dentistry, and practicing within the scope of that license. There is no difference between the two degrees: dentists who have a DMD or DDS have the same education. Universities have the prerogative to determine what degree is awarded. Both degrees use the same curriculum requiremen…
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About NPI 1245073287
Derick Jack Sovereign, DMD's National Provider Identifier is 1245073287, issued on Jun 17, 2024. The primary taxonomy on file is Dentist (122300000X), and the practice location is in Wasilla, AK. The record was last updated on Jun 17, 2024.