Joel Gregory Wiersum Sr. is a Kodiak, Alaska based Dentist who is specialized in
Dentistry. He does not accept the Medicare-approved amount. Patients will be billed for the treatment. Active license number of Joel Gregory Wiersum Sr. is
AA799 for Dentistry in Alaska. His current practice location is
411 Rezanof Dr E, Suite 101, Kodiak. Patients can reach him at
907-486-3475.
Joel Gregory Wiersum Sr. is the primary dental care provider for patients of all ages. He is responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs.
Complete Profile:
Joel Gregory Wiersum Sr. speciality, credentials, practice address, contact phone number and fax are as below.
Patients can directly walk in or can call on the below given phone number for appointment.
| Name: | Joel Gregory Wiersum Sr. |
| Specialization: | Dentist |
| Gender: | Male |
| Credentials: | DDS |
| Accepts Medicare Assignment: | No |
| Practice Address: | 411 Rezanof Dr E, Suite 101, Kodiak,
Alaska, 99615 |
| Phone: | 907-486-3475 |
| Fax: | 907-486-3427 |
Professional Identification Codes:
NPI number stands for National Provider Identifier which is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS).
NPI details are as mentioned below.
| NPI Number: | 1467462341 |
| NPI Enumeration Date: | 09 Aug, 2006 |
| NPI Last Update On: | 08 Jul, 2007 |
Medical Licenses:
Doctors can have one or more medical licenses for different specialities in the same state or different states. Related medical licenses for Joel Gregory Wiersum Sr. are as mentioned below.
| License Number | Specialization | State | Status | |
| AA799 | Dentistry | Alaska | Primary | |
Other Medical Identifiers:
Other legacy medical identifiers associated with Joel Gregory Wiersum Sr. such as Medicaid, Medicare PIN, NSC, UPIN etc. are mentioned as below.
| Identifier | Type | State | Issuer |
| DD0799 | Medicaid | Alaska | |
Business mailing address can be used for mailing purpose only, for visiting purpose patients need to refer above mentioned address.
| Address: | 411 Rezanof Dr E, Suite 101
Kodiak, Alaska |
| Zip: | 99615 |
| Phone Number: | 907-486-3475 |
| Fax Number: | 907-486-3427 |
Patients can reach Joel Gregory Wiersum Sr. at
411 Rezanof Dr E, Suite 101, Kodiak, Alaska or can
call to book an appointment on 907-486-3475.
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**Data of this site is collected from Medicare & Medicaid Services (CMS) and NPPES. Last updated on
08 December, 2025.