NPI 1083454243

Jace Andrew Hanisch, DDS

Practitioner General Practice Dentistry Watertown, SD

Practice location

Address: 20 19th St SE # 3938, Watertown, SD 57201-3938
Phone: (605) 886-2805

Registered specialties

General Practice Dentistry Primary

Dental Providers Taxonomy 1223G0001X Licence D1440 (SD)

Other Dentist providers in South Dakota →

Registry record

NPI: 1083454243
Entity type: Individual
Sex (as registered): Male
NPI issued: 27 May 2024
Record last updated: 27 May 2024

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.