Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of October 4, 2026.
NPIDirectory

Jonathan P Woller DMD PC

Organization Dentist · NPI 1407159775

Jonathan P Woller DMD PC provides Dentist services in Fairbanks, Alaska. Licensed in Alaska. Registered with an NPI since 2010.

Licensed in
AK
In the registry since
2010
What do these letters mean?
PC — Professional corporation
A form of business registration, not a clinical qualification.

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Practice location Address checks out

3535 College Rd Ste #205
Fairbanks, AK 99709-3722 Not confirmed with CMS for 15 years — call before visiting
Phone: (907) 479-6747
Fax: (907) 479-5786
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Dentist (primary) Taxonomy 122300000X · Licence 1155 (AK)

Record details

NPI number1407159775
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Jonathan Woller — President · (907) 479-6747
NPI enumeratedDecember 8, 2010
Last updated in NPPESDecember 8, 2010
Mailing address3535 College Rd, Suite #205, Fairbanks, AK 99709-3722

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