Provider Demographics
NPI:1730343203
Name:VOIGT, PATRICIA JOANN (RDH)
Entity type:Individual
Prefix:MRS
First Name:PATRICIA
Middle Name:JOANN
Last Name:VOIGT
Suffix:
Gender:F
Credentials:RDH
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:PO BOX 35106
Mailing Address - Street 2:
Mailing Address - City:FT WAINWRIGHT
Mailing Address - State:AK
Mailing Address - Zip Code:99703-0106
Mailing Address - Country:US
Mailing Address - Phone:915-227-9822
Mailing Address - Fax:
Practice Address - Street 1:203 S SANTA CLAUS LN
Practice Address - Street 2:
Practice Address - City:NORTH POLE
Practice Address - State:AK
Practice Address - Zip Code:99705-7704
Practice Address - Country:US
Practice Address - Phone:907-490-4650
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2008-07-14
Last Update Date:2008-07-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AK1008124Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes124Q00000XDental ProvidersDental Hygienist