Individual
DR. LYNSEY JEMMETT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DDS
Contact information
Practice address
1717 W COWLES ST, FAIRBANKS, AK 99701-5926
(907) 452-8251
Mailing address
1717 W COWLES ST, FAIRBANKS, AK 99701-5926
(907) 452-8251
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
63841
CA
390200000X
Student in an Organized Health Care Education/Training Program
TD0051
NM
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1617621
—
AK
Enumeration date
05/05/2013
Last updated
10/21/2014
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