Crandall, Jodi L

Crandall, Jodi L is an individual health care provider with primary practice located at 1001 S Knik Goose Bay Rd , Wasilla AK 99654-8083. She recently has only one registered license in Dental Providers / Dental Therapist, which is considered as her primary health care specialty. Crandall, Jodi L can be contacted via phone (190) 729-7690.

Contact Information

Primary practice address
1001 S Knik Goose Bay Rd Wasilla AK 99654-8083
Phone: (190) 729-7690
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Dental Providers / Dental Therapist 125J00000X 23-173-DHAT Alaska

Profile Details

NPI number 1679270748
LBN Legal business name Crandall, Jodi L
Credentials DHAT
Entity Individual
Sole proprietor 1 No
Enumeration date Feb 9th, 2023
Last updated Feb 9th, 2023 - about 3 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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