IndividualActive
Kendall Wachter, DMD
NPI 1629293709 · General Practice Dentistry · Carbondale, IL
Kendall Wachter, DMD is a General Practice Dentistry provider in Carbondale, IL (NPI 1629293709).
Provider details
- NPI number
- 1629293709
- Entity type
- Individual
- Primary specialty
- General Practice DentistryDental Providers
- Credential
- DMD
- Sex
- Female
- Sole proprietor
- No
Specialties & taxonomies
Dental Providers
Profile Score
Detailed profile(83/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
19 yrs in NPPES registry
- Profile completeness38% of score
83% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
374 E Grand Ave
Student Health Center Siuc
Carbondale, IL 62901
Phone: (618) 536-2421
Fax: (618) 453-3477
Approximate (ZIP-level) locationGet directions
Mailing address
520 Canary Lane
Carterville, IL 62918
Registry dates
- Enumerated
- 2007-04-16
- Last updated
- 2007-07-08
Frequently asked questions
- What is Kendall Wachter's NPI number?
- Kendall Wachter's National Provider Identifier (NPI) is 1629293709, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What is Kendall Wachter's specialty?
- Kendall Wachter is listed in the NPPES registry with a primary specialty of General Practice Dentistry (Dental Providers).
- Where is Kendall Wachter located?
- Kendall Wachter's practice location on file with NPPES is 374 E Grand Ave, Carbondale, IL 62901.
- What is Kendall Wachter's phone number?
- The practice phone number listed in the NPPES registry for Kendall Wachter is (618) 536-2421.
- Is Kendall Wachter's NPI active?
- Yes — Kendall Wachter's NPI (1629293709) is active in the NPPES registry as of the last update on 2007-07-08.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.