National Provider Identifier
Kathryn Rand Wacker, DDS
Kathryn Rand Wacker, DDS is listed in the NPPES registry with a primary specialty of Orthodontics and Dentofacial Orthopedics Dentistry in West Seneca, NY and a listed phone number of (716) 675-0155.
Profile Overview
- NPI
- 1255426813
- Provider Type
- Individual
- Primary Specialty
- Orthodontics and Dentofacial Orthopedics Dentistry
- Enumeration Date
- October 03, 2006
- Last Updated
- July 19, 2021
Practice Location
- 4306 Seneca Street
- West Seneca, NY 14224
Phone: (716) 675-0155
Mailing Address
- 505 Cortono Dr
- Reno, NV 89521-4292
Specialties
- Orthodontics and Dentofacial Orthopedics Dentistry (1223X0400X)
- Orthodontics and Dentofacial Orthopedics Dentistry (1223X0400X)
Full Record
- NPI
- 1255426813
- Entity Type
- Individual
- Last Name
- Wacker
- First Name
- Kathryn
- Middle Name
- Rand
- Credential
- DDS
- Mailing Street Address
- 505 Cortono Dr
- Mailing City
- Reno
- Mailing State
- NV
- Mailing ZIP Code
- 89521-4292
- Mailing Country
- US
- Mailing Phone
- (716) 445-3341
- Practice Street Address
- 4306 Seneca Street
- Practice City
- West Seneca
- Practice State
- NY
- Practice ZIP Code
- 14224
- Practice Country
- US
- Practice Phone
- (716) 675-0155
- Enumeration Date
- October 03, 2006
- Last Updated
- July 19, 2021
- Sex
- Female
- Sole Proprietor
- Yes
- Certification Date
- July 19, 2021
- updated_by_file
- npidata_pfile_20050523-20260308.csv
- Taxonomies
- Orthodontics and Dentofacial Orthopedics Dentistry (1223X0400X), Orthodontics and Dentofacial Orthopedics Dentistry (1223X0400X)