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NPI 1427717040

IndividualActive

Jeremy Thatcher

NPI 1427717040 · Dental Laboratory Technician · Nitro, WV

Provider details

NPI number: 1427717040
Entity type: Individual
Primary specialty: Dental Laboratory TechnicianDental Providers
Sex: Male
Sole proprietor: No

Practice location

20 Fairland Dr

Nitro, WV 25143-1186

Phone: (304) 552-2054

More WV providers

Mailing address

130 Stone St

Culloden, WV 25510

Registry dates

Enumerated: 2021-12-10
Last updated: 2021-12-10

Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.

Jeremy Thatcher — NPI 1427717040, Nitro, WV | NPI Central