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

Jodi L Crandall, DHAT

Individual provider Dental Therapist · NPI 1679270748

Jodi L Crandall, DHAT is a Dental Therapist in Wasilla, Alaska. Licensed in Alaska. Registered with an NPI since 2023.

Licensed in
AK
In the registry since
2023

Practice location Address checks out

1001 S Knik Goose Bay Rd
Wasilla, AK 99654-8083
Phone: (190) 729-7690
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Dental Therapist (primary) Taxonomy 125J00000X · Licence 23-173-DHAT (AK)

Record details

NPI number1679270748
Entity typeIndividual (Type 1)
GenderFemale
Credentials DHAT
Sole proprietorNo
NPI enumeratedFebruary 9, 2023
Last updated in NPPESFebruary 9, 2023
Certification dateFebruary 9, 2023
Mailing address1001 S Knik Goose Bay Rd, Wasilla, AK 99654-8083

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