Whalio Doctors

NPI 1003175837

Jane Lea Wachter, DDS

Practitioner Dentist Ravenna, NE

Practice location

Address
102 W Seneca St, Ravenna, NE 68869-1363
Phone
(308) 452-3523
Mailing address
102 W Seneca St PO Box 68, Ravenna, NE 68869-1363

Registered specialties (2)

Dentist Primary
Dental Providers Taxonomy 122300000X Licence 7198 (NE)
Dentist
Dental Providers Taxonomy 122300000X Licence 08906 (IA)

Registry record

NPI
1003175837
Entity type
Individual
Sex (as registered)
Female
NPI issued
14 May 2012
Record last updated
20 Aug 2015

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.