Individual provider · Type 1 NPI

Jodi L. Crandall, DHAT

Dental Therapist · Wasilla, AK

NPI number 1679270748 Active

Practice location

1001 S Knik Goose Bay Rd
Wasilla, AK 99654-8083

Call (190) 729-7690 Map

Specialties and licenses

TaxonomyCodeLicense
Dental Therapist Primary 125J00000X23-173-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 1679270748

Jodi L. Crandall, DHAT's National Provider Identifier is 1679270748, issued on Feb 9, 2023. The primary taxonomy on file is Dental Therapist (125J00000X), and the practice location is in Wasilla, AK. The record was last updated on Feb 9, 2023.