Individual provider · Type 1 NPI

Gwendolyn Agnes Owletuck

Dental Therapist · Bethel, AK

NPI number 1457027443 Active

Practice location

700 Chief Eddie Hoffman Highway
Bethel, AK 99559-0528

Call (907) 679-2204 Map

Fax (907) 543-6399

Mailing address

PO Box 528
Bethel, AK 99559-0528

Specialties and licenses

TaxonomyCodeLicense
Dental Therapist Primary 125J00000X21-159-DHAT (AK)

Dental Therapist: 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 therap…

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About NPI 1457027443

Gwendolyn Agnes Owletuck's National Provider Identifier is 1457027443, issued on Aug 19, 2021. The primary taxonomy on file is Dental Therapist (125J00000X), and the practice location is in Bethel, AK. The record was last updated on Aug 19, 2021.