IndividualActive
Jessica Woller, DMD, MSD, CO
NPI 1164653473 · Orthodontics and Dentofacial Orthopedics Dentistry · Fairbanks, AK
Provider details
- NPI number
- 1164653473
- Entity type
- Individual
- Primary specialty
- Orthodontics and Dentofacial Orthopedics DentistryDental Providers
- Credential
- DMD, MSD, CO
- Sex
- Female
- Sole proprietor
- No
- License
- 1249 (AK)
Specialties & taxonomies
Dental Providers
Dental Providers
Practice location
1919 Lathrop St
Suite 102
Fairbanks, AK 99701-5937
Phone: (907) 452-2939
Fax: (907) 451-7330
Approximate (ZIP-level) locationGet directions
Mailing address
1919 Lathrop St
Fairbanks, AK 99701-5937
Registry dates
- Enumerated
- 2009-08-04
- Last updated
- 2009-10-29
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.