WANDA JEAN DALLY MT
NPI 1740497775
Specialist/Technologist, Pathology - Medical Technologist in Wagner, SD

Active since May 17, 2007
111 WASHINGTON AVE NW, WAGNER, SD 57380(605) 384-3621(605) 384-3293 Get Directions Write a Review

NPPES record last updated: July 9, 2007. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Wanda Jean Dally Mt NPPES

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

WANDA JEAN DALLY MT (NPI 1740497775) is an individual medical technologist in Wagner, South Dakota, licensed in South Dakota (185598) and active in the NPI registry since May 2007.

NPPES Registry Identity

NPI1740497775
Entity TypeIndividualFemale
Primary Taxonomy246QM0706X
Provider Legal NameWANDA JEAN DALLYCredential: MT
Location Address111 WASHINGTON AVE NWWagner, SD 57380
Mailing Address111 Washington Ave NwWagner, SD 57380 · (605) 384-3621 · Fax (605) 384-3293
Fax(605) 384-3293
Sole ProprietorNo
Enumeration DateMay 17, 2007
Last NPPES UpdateJuly 9, 2007
NPI 1740497775 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtySpecialist/Technologist, Pathology · Medical TechnologistTechnologists, Technicians & Other Technical Service Providers
Taxonomy Code246QM0706X
License Licensed in SD · 185598
111 WASHINGTON AVE NW, Wagner, SD 57380

Other Identifiers 3

Medicaid5540030SD
Medicaid5540100SD
Medicare ID-Type UnspecifiedHSZ059SD

Other Providers at the Same Location NPPES 20

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

Pharmacist
111 WASHINGTON AVE NW
WAGNER, SD 57380
Registered Nurse (Community Health)
111 WASHINGTON AVE NW
WAGNER, SD 57380
Registered Nurse
111 WASHINGTON AVE NW
WAGNER, SD 57380
Registered Nurse
111 WASHINGTON AVE NW
WAGNER, SD 57380
General Practice
111 WASHINGTON AVE NW
WAGNER, SD 57380
Pharmacist
111 WASHINGTON AVE NW
WAGNER, SD 57380
Counselor (Professional)
111 WASHINGTON AVE NW
WAGNER, SD 57380
Physical Therapist
111 WASHINGTON AVE NW
WAGNER, SD 57380

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 Wanda Dally's NPI number?

The NPI number for Wanda Dally is 1740497775. It was assigned to this individual provider in the NPPES registry on May 17, 2007.

Where is Wanda Dally located?

Wanda Dally practices at 111 Washington Ave NW, Wagner, SD 57380. The listed phone number is (605) 384-3621.

What is Wanda Dally's specialty?

The primary specialty registered for this NPI is Specialist/Technologist, Pathology, specializing in Medical Technologist, with taxonomy code 246QM0706X.

When was this NPI record last updated?

The NPPES record for Wanda Dally was last updated on July 9, 2007. NPI Profile syncs with the weekly NPPES data releases published by CMS.