Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
JEREMY ROWAN THATCHER
ActiveDental Laboratory Technician · NITRO, WV
Registration Details
- NPI Number
- 1427717040
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Dec 10, 2021 (4.3829249801292 yrs)
- Last Updated
- Dec 10, 2021
Practice Information
- Address
-
20 FAIRLAND DRNITRO, WV, 251431186Browse WV providers · Browse ZIP 25143
- Phone
- 3045522054
- Primary Specialty
-
Dental Laboratory Technician
126900000X
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.