Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Dr. Jessica L Woller, DMD, MSD, CO

Individual provider Dentist · NPI 1164653473

Dr. Jessica L Woller, DMD, MSD, CO is a Dentist in Fairbanks, Alaska. Licensed in Alaska. Registered with an NPI since 2009.

Licensed in
AK
In the registry since
2009
Specialties on file
2
What do these letters mean?
DMD — Doctor of Dental Medicine
A dentist. Identical training and licensing to a DDS.

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Practice location Address checks out

1919 Lathrop St Ste 102
Fairbanks, AK 99701-5937
Phone: (907) 452-2939
Fax: (907) 451-7330
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Orthodontics and Dentofacial Orthopedics Dentistry (primary) Taxonomy 1223X0400X · Licence 162 (AK)
Dentist Taxonomy 122300000X · Licence 1249 (AK)

Record details

NPI number1164653473
Entity typeIndividual (Type 1)
GenderFemale
Credentials DMD , MSD , CO
Sole proprietorNo
NPI enumeratedAugust 4, 2009
Last updated in NPPESOctober 29, 2009

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