Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Jonathan P Woller DMD PC

Organization Dentist · NPI 1407159775

Jonathan P Woller DMD PC is a Dentist 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
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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