Janette Carmen Ulak
Individual provider Active NPI Dental Therapist · Hooper Bay, AK
NPI 1922579143 · NPPES record last updated Dec 16, 2018
Key facts
- NPI
- 1922579143
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Dental Therapist 125J00000X
- License
- 07-046-DHAT (AK)
- Practice address
- 49 Airport Rd
Hooper Bay Clinic
Hooper Bay, AK 99604 - Phone
- (907) 758-3500
- NPI assigned
- Dec 16, 2018
- Sex
- Female
- Sole proprietor
- Yes
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 07-046-DHAT | AK | MD | Dental Therapist |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Dental Therapist | 125J00000X | 07-046-DHAT | AK | Yes |
Addresses
Primary practice location
49 Airport Rd
Hooper Bay Clinic
Hooper Bay, AK 99604
Mailing address
PO Box 528
Bethel, AK 99559-0528
Phone (907) 543-6229
Other providers in Hooper Bay, AK
- Pauline Mann
- Martha Simon
- Elias Stone
- Marissa Tomaganuk
- Deanne Tomlinson
- Yukon Kuskokwim Health Corporation
- Yukon Kuskokwim Health Corporation
All providers in Hooper Bay, AK · Dental Therapist in Alaska
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Dec 16, 2018. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.