IndividualActive
Gwendolyn Owletuck
NPI 1457027443 · Dental Therapist · Bethel, AK
Provider details
- NPI number
- 1457027443
- Entity type
- Individual
- Primary specialty
- Dental TherapistDental Providers
- Sex
- Female
- Sole proprietor
- No
- License
- 21-159-DHAT (AK)
Specialties & taxonomies
Dental Providers
Practice location
700 Chief Eddie Hoffman Highway
Bethel, AK 99559-0528
Phone: (907) 679-2204
Fax: (907) 543-6399
Approximate (ZIP-level) locationGet directions
Mailing address
Po Box 528
Bethel, AK 99559-0528
Registry dates
- Enumerated
- 2021-08-19
- Last updated
- 2021-08-19
- Certified
- 2021-07-28
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.