| Joel Gregory Wiersum Sr, DDS | |
|
411 Rezanof Dr E, Suite 101, Kodiak, AK 99615 | |
| (907) 486-3475 | |
| (907) 486-3427 |
| Full Name | Joel Gregory Wiersum Sr |
|---|---|
| Gender | Male |
| Speciality | Dentist |
| Location | 411 Rezanof Dr E, Kodiak, Alaska |
| Accepts Medicare Assignments | Does not participate in Medicare Program. He may not accept medicare assignment. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1467462341 | NPI | - | NPPES |
| DD0799 | Medicaid | AK |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 122300000X | Dentist | AA799 (Alaska) | Primary |
| Mailing Address | Practice Location Address |
|---|---|
| Joel Gregory Wiersum Sr, DDS 411 Rezanof Dr E, Suite 101, Kodiak, AK 99615 Ph: (907) 486-3475 | Joel Gregory Wiersum Sr, DDS 411 Rezanof Dr E, Suite 101, Kodiak, AK 99615 Ph: (907) 486-3475 |
Jennifer Spivey, D.D.S. Dentist Medicare: Medicare Enrolled Practice Location: 506 W Marine Way, Kodiak, AK 99615 Phone: 907-486-3269 | |
Dr. John Franklin Caudill, Ii, D.M.D. Dentist Medicare: Not Enrolled in Medicare Practice Location: Bldg N46, Cape Sarichef, Kodiak, AK 99619 Phone: 907-487-5757 Fax: 907-487-5360 | |
Carrie Md Randolph, DDS Dentist Medicare: Medicare Enrolled Practice Location: 506 W Marine Way, Kodiak, AK 99615 Phone: 907-486-3269 | |
Dr. James Arneson, Dentist Medicare: Medicare Enrolled Practice Location: 506 W Marine Way, Kodiak, AK 99615 Phone: 907-486-3269 Fax: 907-486-3260 | |
Charles W Phillips, DD Dentist Medicare: Not Enrolled in Medicare Practice Location: 3449 E Rezanof Dr, Kodiak, AK 99615 Phone: 907-486-9800 Fax: 907-486-9898 | |
Dr. Brett Alan Bass, DDS, PC Dentist Medicare: Not Enrolled in Medicare Practice Location: 1317 Mill Bay Rd, Kodiak, AK 99615 Phone: 907-486-3291 Fax: 907-486-3015 |