Individual provider · Type 1 NPI

Jessica Sathissarat

Periodontics · Wright-Patterson Afb, OH

NPI number 1427357904 Active

Practice location

88 Mdg/sghj, 4881 Sugar Maple Dr. Bldg 830
Wright-Patterson Afb, OH 45433-5529

Mailing address

13555 Golden Meadow Dr
Plainfield, IL 60544-9671

Specialties and licenses

TaxonomyCodeLicense
Student in an Organized Health Care Education/Training Program 390200000XNone listed
Periodontics Primary 1223P0300X019.028641 (IL)

Periodontics: That specialty of dentistry which encompasses the prevention, diagnosis and treatment of diseases of the supporting and surrounding tissues of the teeth or their substitutes and the maintenance of the health, function and esthetics of these structures and tissues.

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About NPI 1427357904

Jessica Sathissarat's National Provider Identifier is 1427357904, issued on Mar 23, 2011. The primary taxonomy on file is Periodontics (1223P0300X), and the practice location is in Wright-Patterson Afb, OH. The record was last updated on Jul 6, 2023.