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GWENDOLYN AGNES OWLETUCK
NPI 1457027443
Dental Therapist in Bethel, AK

Active since August 19, 2021
700 CHIEF EDDIE HOFFMAN HIGHWAY, BETHEL, AK 99559(907) 679-2204(907) 543-6399 Get Directions Write a Review

NPPES record last updated: August 19, 2021. Verified against the NPPES registry weekly; last sync: August 23, 2026.

About Gwendolyn Agnes Owletuck NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

GWENDOLYN AGNES OWLETUCK (NPI 1457027443) is an individual dental therapist in Bethel, Alaska, licensed in Alaska (21-159-DHAT) and active in the NPI registry since August 2021.

NPPES Registry Identity

NPI1457027443
Entity TypeIndividualFemale
Primary Taxonomy125J00000X
Provider Legal NameGWENDOLYN AGNES OWLETUCK
Location Address700 CHIEF EDDIE HOFFMAN HIGHWAYBethel, AK 99559-0528
Mailing AddressPo Box 528Bethel, AK 99559-0528 · (907) 679-2204 · Fax (907) 543-6399
Phone(907) 679-2204
Fax(907) 543-6399
Sole ProprietorNo
Enumeration DateAugust 19, 2021
NPPES CertifiedJuly 28, 2021
✔ NPI 1457027443 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDental TherapistDental Providers
Taxonomy Code125J00000X
License✔ Licensed in AK · 21-159-DHAT
Definition
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.
700 CHIEF EDDIE HOFFMAN HIGHWAY, Bethel, AK 99559
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Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

MAY PRUNES
Day Training/Habilitation Specialist
700 CHIEF EDDIE HOFFMAN HIGHWAY
BETHEL, AK 99559
Bethel (907) 543-6300
JIMMY J. JIMMY
Technician (Personal Care Attendant)
700 CHIEF EDDIE HOFFMAN HIGHWAY
BETHEL, AK 99559
Bethel (907) 543-6300
WYNDI RACHELE ADAMS R.T.(R)
Radiologic Technologist (Radiography)
700 CHIEF EDDIE HOFFMAN HIGHWAY
BETHEL, AK 99559
Bethel (907) 543-6000
DAREK NORATAK
Day Training/Habilitation Specialist
700 CHIEF EDDIE HOFFMAN HIGHWAY
BETHEL, AK 99559
Bethel (907) 543-6300
FREIDA SERGIE
Technician (Personal Care Attendant)
700 CHIEF EDDIE HOFFMAN HIGHWAY
BETHEL, AK 99559
Bethel (907) 543-6300
MS. PHYLLIS ANNETTE COYLE RD, LD
Dietitian, Registered
700 CHIEF EDDIE HOFFMAN HIGHWAY
BETHEL, AK 99559
Bethel (907) 543-6300
HANNAH OWEN
Technician (Personal Care Attendant)
700 CHIEF EDDIE HOFFMAN HIGHWAY
BETHEL, AK 99559
Bethel (907) 543-6300
KATHLEEN WASSILLIE
Technician (Personal Care Attendant)
700 CHIEF EDDIE HOFFMAN HIGHWAY
BETHEL, AK 99559
Bethel (907) 543-6300

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Gwendolyn Owletuck's NPI number?

The NPI number for Gwendolyn Owletuck is 1457027443. It was assigned to this individual provider in the NPPES registry on August 19, 2021.

Where is Gwendolyn Owletuck located?

Gwendolyn Owletuck practices at 700 Chief Eddie Hoffman Highway, Bethel, AK 99559. The listed phone number is (907) 679-2204.

What is Gwendolyn Owletuck's specialty?

The primary specialty registered for this NPI is Dental Therapist with taxonomy code 125J00000X.

When was this NPI record last updated?

The NPPES record for Gwendolyn Owletuck was last updated on August 19, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.