NPI 1013694462

Jacob Tant Stinson, DDS

Practitioner Dentist Wasilla, AK

Practice location

Address: 1551 W Parks Hwy, Wasilla, AK 99654-6933
Phone: (907) 357-6684

Registered specialties

Dentist Primary

Dental Providers Taxonomy 122300000X Licence 210383 (AK)

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Registry record

NPI: 1013694462
Entity type: Individual
Sex (as registered): Male
NPI issued: 28 Jun 2023
Record last updated: 28 Jun 2023

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.