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DR. KENDALL MARIE WACHTER DMD
NPI 1629293709
Dentist - General Practice in Carbondale, IL

Active since April 16, 2007
374 E GRAND AVE, STUDENT HEALTH CENTER SIUC, CARBONDALE, IL 62901(618) 536-2421(618) 453-3477 Get Directions Write a Review

NPPES record last updated: July 8, 2007. Verified against the NPPES registry weekly; last sync: July 19, 2026.

About Dr. Kendall Marie Wachter Dmd NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

DR. KENDALL MARIE WACHTER DMD (NPI 1629293709) is an individual general practice provider in Carbondale, Illinois and active in the NPI registry since April 2007.

NPPES Registry Identity

NPI1629293709
Entity TypeIndividualFemale
Primary Taxonomy1223G0001X
Provider Legal NameDR. KENDALL MARIE WACHTERCredential: DMD
Location Address374 E GRAND AVE, STUDENT HEALTH CENTER SIUCCarbondale, IL 62901
Mailing Address520 Canary LaneCarterville, IL 62918 · (618) 985-6997
Phone(618) 536-2421
Fax(618) 453-3477
Sole ProprietorNo
Enumeration DateApril 16, 2007
Last NPPES UpdateJuly 8, 2007
✔ NPI 1629293709 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDentist · General PracticeDental Providers
Taxonomy Code1223G0001X
Definition

A general dentist is the primary dental care provider for patients of all ages. The general dentist is responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs.

374 E GRAND AVE, Carbondale, IL 62901
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Other Providers at the Same Location NPPES 15

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

MS. NANCY ANN MCDONALD PAC
Physician Assistant
374 E GRAND AVE, STUDENT HEALTH CENTER MAILCODE 6740
CARBONDALE, IL 62901
Jackson County (618) 453-3311
RUSSELL EDWARD KLEIN DMD
Dentist (General Practice)
374 E GRAND AVE, STUDENT HEALTH CENTER SIVC
CARBONDALE, IL 62901
Jackson County (618) 536-2421
ROSEMARY ELIZABETH SIMMONS PH.D.
Psychologist (Counseling)
374 E GRAND AVE, COUNSELING CENTER, MAIL CODE 4715, SIU
CARBONDALE, IL 62901
Jackson County (618) 453-5371
MR. KYLE MICHAEL CHAMNESS PTA
Physical Therapy Assistant
374 E GRAND AVE
CARBONDALE, IL 62901
Jackson County (618) 453-1292
SOUTHERN ILLINOIS UNIVERSITY STUDENT
Pharmacy (Institutional Pharmacy)
374 E GRAND AVE
CARBONDALE, IL 62901
Jackson County (618) 453-4417
MR. THOMAS NORBERT CERNY R.PH.
Pharmacist (Ambulatory Care)
374 E GRAND AVE
CARBONDALE, IL 62901
Jackson County (618) 453-4417
DR. ALEC ESHELMAN PH.D.
Psychologist (Clinical)
374 E GRAND AVE
CARBONDALE, IL 62901
Jackson County (618) 453-5371
JENNIFER WINCHESTER PTA
Physical Therapy Assistant
374 E GRAND AVE
CARBONDALE, IL 62901
Jackson County (618) 453-1292

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Kendall Wachter's NPI number?

The NPI number for Kendall Wachter is 1629293709. It was assigned to this individual provider in the NPPES registry on April 16, 2007.

Where is Kendall Wachter located?

Kendall Wachter practices at 374 E Grand Ave Student Health Center Siuc, Carbondale, IL 62901. The listed phone number is (618) 536-2421.

What is Kendall Wachter's specialty?

The primary specialty registered for this NPI is Dentist, specializing in General Practice, with taxonomy code 1223G0001X.

When was this NPI record last updated?

The NPPES record for Kendall Wachter was last updated on July 8, 2007. NPI Profile syncs with the weekly NPPES data releases published by CMS.