Individual provider · Type 1 NPI

Joel Gregory Wiersum Sr., DDS

Dentist · Kodiak, AK

NPI number 1467462341 Active

Practice location

411 Rezanof Dr E, Suite 101
Kodiak, AK 99615

Fax (907) 486-3427

Specialties and licenses

TaxonomyCodeLicense
Dentist Primary 122300000XAA799 (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…

About NPI 1467462341

Joel Gregory Wiersum Sr., DDS's National Provider Identifier is 1467462341, issued on Aug 9, 2006. The primary taxonomy on file is Dentist (122300000X), and the practice location is in Kodiak, AK. The record was last updated on Jul 8, 2007.