NPI 1427717040

Jeremy Rowan Thatcher

Practitioner Dental Laboratory Technician Nitro, WV

Practice location

Address: 20 Fairland Dr, Nitro, WV 25143-1186
Phone: (304) 552-2054
Mailing address: 130 Stone St, Culloden, WV 25510

Registered specialties

Dental Laboratory Technician Primary

Dental Providers Taxonomy 126900000X

Other Dental Laboratory Technician providers in West Virginia →

Registry record

NPI: 1427717040
Entity type: Individual
Sex (as registered): Male
NPI issued: 10 Dec 2021
Record last updated: 10 Dec 2021

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.