Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
KATHRYN RAND WACKER, DDS
Active Sole ProprietorKATHRYN RAND WACKER, DDS is a Orthodontics healthcare provider located in WEST SENECA, New York. NPI 1255426813 is currently active in the NPPES registry. Verify at CMS.
Orthodontics · WEST SENECA, NY
Registration Details
- NPI Number
- 1255426813
- Provider Type
- Individual
- Gender
- Female
- NPI Issued
- Oct 3, 2006 (20.069607654752 yrs)
- Last Updated
- Jul 19, 2021
- Licenses
-
047723 (NY)S3-349C (NV)
- Sole Proprietor
- Yes
Practice Information
- Address
-
4306 SENECA STREETWEST SENECA, NY, 14224Browse NY providers · Browse ZIP 14224
- Phone
- 7166750155
- Primary Specialty
-
Orthodontics
1223X0400X
- Additional Specialty
- Orthodontics
Other Orthodontics Providers in WEST SENECA, NY
| Name | Credential | NPI |
|---|---|---|
| DR. KEVIN SCOTT MANZELLA | DDS, MS | 1144745472 |
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.