Individual
DR. JELENA SEIBOLD
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DDS
Contact information
Practice address
1001 S KNIK GOOSE BAY RD, WASILLA, AK 99654-8083
(907) 631-7690
Mailing address
7033 E TUDOR RD, ANCHORAGE, AK 99507-1262
(907) 729-6801
(907) 729-5180
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
2901019442
MI
1223E0200X
Endodontics
Primary
235832
AK
1223E0200X
Endodontics
2901019442
MI
1223E0200X
Endodontics
36891
TX
Other
Enumeration date
09/15/2006
Last updated
06/24/2026
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