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Jodi Crandall, DHAT — NPI 1679270748, Wasilla, AK | NPI Central

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NPI 1679270748

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Jodi Crandall, DHAT

NPI 1679270748 · Dental Therapist · Wasilla, AK

Provider details

NPI number: 1679270748
Entity type: Individual
Primary specialty: Dental TherapistDental Providers
Credential: DHAT
Sex: Female
Sole proprietor: No
License: 23-173-DHAT (AK)

Specialties & taxonomies

Dental TherapistPrimary125J00000XLicense 23-173-DHAT (AK)
Dental Providers

Practice location

1001 S Knik Goose Bay Rd

Wasilla, AK 99654-8083

Phone: (190) 729-7690

Approximate (ZIP-level) locationGet directions

More AK providers

Mailing address

1001 S Knik Goose Bay Rd

Wasilla, AK 99654-8083

Registry dates

Enumerated: 2023-02-09
Last updated: 2023-02-09
Certified: 2023-02-09

Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.