JASLYN F WREN (NPI# 1730638933) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1730638933 |
| Entity Type | Individual |
| Full Name | JASLYN F WREN |
| Credential | DHAT |
| Practice Address |
4341 Tudor Centre Dr Fireweed Dental Building Anchorage AK 99508-5904 |
| Mailing Address |
Po Box 35151 Seattle WA 98124-5151 |
| Practice Telephone | 9073176070 |
| Practice Fax Number | 9077295178 |
| Mailing Telephone | 9073176070 |
| Mailing Fax Number | 9077295178 |
| Enumeration Date | 2016-09-28 |
| Last Update Date | 2016-09-28 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 125J00000X | Dental Therapist | 16-137-DHAT | AK | Dental Providers |
| Street Address |
4341 TUDOR CENTRE DR FIREWEED DENTAL BUILDING |
| City | ANCHORAGE |
| State | AK |
| Zip Code | 99508-5904 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1851341416 | Kerry Jae Ozer | Psychiatry & Neurology | 4341 Tudor Centre Dr, Third Floor, Anchorage, AK 99508-5904 | 2006-05-12 |
| 1548826332 | Kayla Knight | Case Manager/Care Coordinator | 4341 Tudor Centre Dr, Anchorage, AK 99508-5904 | 2019-05-16 |
| 1730745696 | Erik Eckberg | Counselor | 4341 Tudor Centre Dr, Anchorage, AK 99508-5904 | 2019-05-16 |
| 1588138275 | Dustin William Allen | Counselor | 4341 Tudor Centre Dr, Anchorage, AK 99508 | 2019-01-15 |
| 1740788223 | Southcentral Foundation | Community Health Worker | 4341 Tudor Centre Dr, Anchorage, AK 99508-5904 | 2018-01-30 |
| 1306367669 | Ekaterina Vladimir Kalachevskiy | Counselor | 4341 Tudor Centre Dr, Anchorage, AK 99508-5904 | 2017-06-27 |
| 1477945400 | Nathon Allan Blackburn | Dentist | 4341 Tudor Centre Dr, Fireweed Dental, Anchorage, AK 99508-5904 | 2015-02-27 |
| 1902162977 | Janece W Richard | Counselor | 4341 Tudor Centre Dr, 3rd Floor, Anchorage, AK 99508-5904 | 2012-04-04 |
| 1508137217 | Lisa M Alexia | Physician Assistant | 4341 Tudor Centre Dr, Anchorage, AK 99508-5904 | 2012-01-26 |
| 1962726364 | Southcentral Foundation Dental Dhat | Clinic/Center | 4341 Tudor Centre Dr, Anchorage, AK 99508-5904 | 2010-03-15 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1366063349 | Alexandra L Davis | Student in an Organized Health Care Education/Training Program | 1202 E 36th Ave, Anchorage, AK 99508 | 2020-05-01 |
| 1366087108 | The Salvation Army, A California Corporation | Community/Behavioral Health | 3600 East 20th Avenue, Anchorage, AK 99508 | 2019-11-15 |
| 1679120349 | Kila Gilcart | Speech-Language Pathologist | 161 Klevin Street #103, Anchorage, AK 99508 | 2019-08-19 |
| 1326692963 | Shannon Maillet | Behavior Technician | 1650 S Bragaw, Anchorage, AK 99508 | 2019-07-31 |
| 1427602044 | Frank Harris Lawson Iv | Behavior Technician | 1650 S. Bragaw, Anchorage, AK 99508 | 2019-07-31 |
| 1104470723 | Vivalesi Seforosa Nair | Behavior Technician | 1650 South Bragaw, Anchorage, AK 99508 | 2019-07-31 |
| 1043864267 | The Cozy Chalet Assisted Living Home LLC | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 3707 Mt Blanc Circle, Anchorage, AK 99508 | 2019-07-25 |
| 1942861778 | Christine Mary Hoover | Registered Nurse | Alaska Native Medical Center - Inpatient Pediatrics, 4315 Diplomacy Dr, Anchorage, AK 99508 | 2019-06-24 |
| 1215594502 | Ashley Ongtowasruk | Case Manager/Care Coordinator | 4441 Dipomacy Dr, Suite 500, Anchorage, AK 99508 | 2019-05-22 |
| 1659937019 | Rayne Johnson | Behavior Technician | 4000 San Ernesto Blvd, Anchorage, AK 99508 | 2019-05-11 |
| Find all providers in zip 99508 | ||||
| Taxonomy Code | 125J00000X |
| Grouping | Dental Providers |
| Classification | Dental Therapist |
| A Dental Therapist is an individual who has completed an accredited or non-accredited dental therapy program and who has been authorized by the relevant state board or a tribal entity to provide services within the scope of their practice under the supervision of a dentist. Functions that may be delegated to the dental therapist vary based on the needs of the dentist, the educational preparation of the dental therapist and state dental practice acts and regulations. |
| Notes: Source: Summarized from Minnesota Statute 150A.105. [7/1/2012: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1083251607 | Tamija Katrice Woods | Dental Therapist | 4519 E 4th Ave, Anchorage, AK 99508-2216 | 2019-12-02 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1538541693 | Amanda Miles | Dental Therapist | 3449 E. Rezanof Drive, Dental Department, Kodiak, AK 99615-3449 | 2015-06-25 |
| 1205236692 | Kimberly Baldwin | Dental Therapist | 436 5th Ave Ted Stevens Way, Kotzebue, AK 99752 | 2014-09-04 |
| 1205265345 | Cora Roberts | Dental Therapist | 201 3rd Avenue, Suite 115, Seward, AK 99664 | 2013-11-08 |
| 1326654245 | Kathrine G.d.a Levi | Dental Therapist | 700 Chief Eddie Hoffman Hwy, Bethel, AK 99559 | 2020-09-16 |
| 1790320513 | Ruby Okitkun | Dental Therapist | 700 Chief Eddie Hoffman Hwy, Bethel, AK 99559 | 2019-11-15 |
| 1336783075 | Allison Kristi Wasuli | Dental Therapist | 733 2nd Avenue, Kotzebue, AK 99752 | 2019-11-06 |
| 1922579143 | Janette Carmen Ulak | Dental Therapist | 49 Airport Rd, Hooper Bay Clinic, Hooper Bay, AK 99604 | 2018-12-16 |
| 1609345677 | Samantha Sparks | Dental Therapist | 222 Tongass Dr, Sitka, AK 99835-9416 | 2018-11-19 |
| 1134696156 | Shonna Wheeler | Dental Therapist | 100 Slocum Drive, King Cove, AK 99612 | 2018-10-29 |
| 1881160570 | Leandra Beech | Dental Therapist | 1001 S Knik Goose Bay Rd, Wasilla, AK 99654-8083 | 2018-10-19 |
| Find all providers with the same taxonomy | ||||
Please comment or provide details below to improve the information on JASLYN F WREN.
| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.