Whalio Doctors

NPI 1356776124

Jan M Waite, DDS

Practitioner General Practice Dentistry Platteville, WI

Practice location

Address
580 Kase St, Platteville, WI 53818-1814
Phone
(608) 348-3031
Mailing address
580 Kase St PO Box 255, Platteville, WI 53818-1814

Registered specialties

General Practice Dentistry Primary
Dental Providers Taxonomy 1223G0001X Licence 4104 (WI)

Registry record

NPI
1356776124
Entity type
Individual
Sex (as registered)
Female
NPI issued
11 Sep 2013
Record last updated
11 Sep 2013

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.