Individual
JUSTIN D POULSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DMD
Contact information
Practice address
47707 JUDY LYNN LANE, SOLDOTNA, AK 99669
(907) 283-9125
(907) 283-9184
Mailing address
47707 JUDY LYNN LANE, SOLDOTNA, AK 99669
(907) 283-9125
(907) 283-9184
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
1572
AK
Other
Enumeration date
07/25/2014
Last updated
02/12/2026
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