OrganizationActive
Jonathan P Woller D.M.D. PC
NPI 1407159775 · Dentist · Fairbanks, AK
Provider details
- NPI number
- 1407159775
- Entity type
- Organization
- Primary specialty
- DentistDental Providers
- Organization subpart
- No
- Authorized official
- Jonathan Woller, President(907) 479-6747
- License
- 1155 (AK)
Specialties & taxonomies
Dental Providers
Profile Score
Detailed profile(82/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
15 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
3535 College Rd
Suite #205
Fairbanks, AK 99709-3722
Phone: (907) 479-6747
Fax: (907) 479-5786
Street-level locationGet directions
Mailing address
3535 College Rd
Fairbanks, AK 99709-3722
Registry dates
- Enumerated
- 2010-12-08
- Last updated
- 2010-12-08
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.