Individual
DR. THAYNE JORAY DAWSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DMD
Contact information
Practice address
3719 E MERIDIAN LOOP STE B, WASILLA, AK 99654-7273
(907) 373-2440
(907) 373-1920
Mailing address
3719 E MERIDIAN LOOP STE B, WASILLA, AK 99654-7273
(907) 373-2440
(907) 373-1920
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
DEN-DEN-LIC-13443
MT
1223G0001X
General Practice Dentistry
Primary
140965
AK
Other
Enumeration date
06/08/2017
Last updated
07/31/2023
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