Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
DR. JAIME BETH WALLER, DDS
ActiveDR. JAIME BETH WALLER, DDS is a Dentist healthcare provider located in DEERWOOD, Minnesota. NPI 1639482474 is currently active in the NPPES registry. Verify at CMS.
Dentist · DEERWOOD, MN
Registration Details
- NPI Number
- 1639482474
- Provider Type
- Individual
- Gender
- Female
- NPI Issued
- Jul 21, 2010 (16.054860318871 yrs)
- Last Updated
- Apr 19, 2019
- Licenses
-
D12840 (MN)D12840 (MN)
Practice Information
- Address
-
21343 ARCHIBALD ROADDEERWOOD, MN, 56444Browse MN providers · Browse ZIP 56444
- Phone
- 2185343141
- Fax
- 2185343949
- Primary Specialty
-
Dentist
122300000X
- Additional Specialty
- Dentist
Other Dentist Providers in DEERWOOD, MN
| Name | Credential | NPI |
|---|---|---|
| DR. JAMES DANIEL STRAMPE | DDS | 1578667937 |
| DR. KENDALL LEWIS DAMMEIER | DDS | 1679700942 |
| DR. MOLLY REBECCA GERVICH | DDS | 1861796013 |
| ANNA CARR | — | 1528511706 |
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.