Individual
KRISTEN LEIGH WHETSELL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DDS
Contact information
Practice address
3112 AIRPORT WAY STE 1, FAIRBANKS, AK 99709-4768
(907) 452-1250
Mailing address
3112 AIRPORT WAY STE 1, FAIRBANKS, AK 99709-4768
(907) 452-1250
(907) 456-1307
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
157077
AK
1223S0112X
Oral and Maxillofacial Surgery (Dentist)
Primary
15707
AK
1223X2210X
Orofacial Pain Dentistry
15707
AK
Other
Enumeration date
07/17/2012
Last updated
09/06/2023
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