Aaron Thomas Wachtel, DDS
Organization Active NPI General Practice Dentistry · Geneseo, IL
NPI 1477070258 · NPPES record last updated Aug 23, 2017
Key facts
- NPI
- 1477070258
- Entity type
- Organization (NPI type 2)
- Primary specialty
- General Practice Dentistry 1223G0001X
- Legal business name
- AARON THOMAS WACHTEL, DDS
- Practice address
- 608 E. Ogden Avenue
Geneseo, IL 61254 - Phone
- (309) 944-5191
- Fax
- (309) 944-8317
- NPI assigned
- Aug 23, 2017
- Organization subpart
- No
Authorized official
- Name
- Aaron Thomas Wachtel, DDS
- Title
- Owner
- Phone
- (309) 944-5191
Corporate family (same tax ID) 2
Practitioners 3
-
Aaron Thomas Wachtel, D.D.S.
-
Thomas Joseph Wachtel, D.D.S.
-
Joshua T Pogue, DMD
National Provider Directory
- Tax ID family
- Aaron Thomas Wachtel DDS
Locations
608 E Ogden Ave
Geneseo, IL 61254
Phone (309) 944-5191
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| General Practice Dentistry |
1223G0001X | Yes |
Addresses
Primary practice location
608 E. Ogden Avenue
Geneseo, IL 61254
Mailing address
608 E. Ogden Avenue
Geneseo, IL 61254
Phone (309) 944-5191
Other providers in Geneseo, IL
- A - Ward Counseling
- Breanna Achenbaugh
- Allure of Geneseo, LLC
- Victoria Bean
- Shari L Becker
- Lisa Benjamin
All providers in Geneseo, IL · General Practice Dentistry in Illinois
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Aug 23, 2017. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.