NPI 1174934574

Leeann Diercks, DDS

Practitioner Dentist Watertown, SD

Practice location

Address: 20 19th St SE, Watertown, SD 57201-3938
Phone: (605) 886-2805
Mailing address: 20 19th St SE PO Box 330, Watertown, SD 57201-3938

Registered specialties (2)

Dentist Primary

Dental Providers Taxonomy 122300000X Licence D1113 (SD)

Other Dentist providers in South Dakota →

Dentist

Dental Providers Taxonomy 122300000X Licence D13356 (MN)

Registry record

NPI: 1174934574
Entity type: Individual
Sex (as registered): Female
NPI issued: 19 May 2014
Record last updated: 22 Jun 2016

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.