DR. JAY WIETECHA (NPI# 1306973078) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1306973078 |
| Entity Type | Individual |
| Full Name | DR. JAY WIETECHA |
| Credential | D.M.D. |
| Practice Address |
98 Silver St Waterville ME 04901-5935 |
| Practice Telephone | 2078732073 |
| Practice Fax Number | 2078730697 |
| Mailing Telephone | 2078732073 |
| Mailing Fax Number | 2078730697 |
| Enumeration Date | 2007-02-28 |
| Last Update Date | 2007-07-08 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 1223G0001X |
Dentist Specialization: General Practice |
3627 | ME | Dental Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| ME | DEA NUMBER | BW7358648 | 01 |
| Street Address |
98 SILVER ST |
| City | WATERVILLE |
| State | ME |
| Zip Code | 04901-5935 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1215467436 | Joseph Reginald Dumont | Dentist | 98 Silver St, Waterville, ME 04901-5935 | 2017-06-20 |
| 1578735320 | Esthetic and Reconstructive Dentistry | Clinic/Center | 98 Silver St, Waterville, ME 04901-5935 | 2008-04-01 |
| 1588791347 | Peter Laliberte | Dentist | 98 Silver St, Waterville, ME 04901-5935 | 2007-02-28 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1093325649 | Orthopedic Physical Therapy | Physical Therapist | Orthopedic Physical Therapy, 234 College Ave, Waterville, ME 04901 | 2020-08-07 |
| 1790328771 | Elizabeth Saucier | Counselor | Discovery House 40 Airport Rd, Waterville, ME 04901 | 2019-10-23 |
| 1780233445 | Amy Marie Tardy | Counselor | 325 Kmd, Building D - Unit 4, 325 Kmd - Building D -- Unit 4, Waterville, ME 04901 | 2019-09-05 |
| 1457905911 | Waterville Audiology PC | Audiologist-Hearing Aid Fitter | 124 Silver Street, Waterville, ME 04901 | 2019-08-01 |
| 1629537048 | Samantha Sobel | Behavioral Analyst | 2 Seton Center Dr, Waterville, ME 04901 | 2019-03-15 |
| 1366916025 | Waterville Pharmacy | Pharmacy | 20 Concourse W, Waterville, ME 04901 | 2019-01-16 |
| 1699243733 | Thomas James Demers | Counselor | Discovery House, 40 Airport Road, Waterville, ME 04901 | 2018-11-07 |
| 1851892442 | Alishia M Austin | Counselor | Discovery House Ctc Waterville 40 Airport Rd, Waterville, ME 04901 | 2018-02-28 |
| 1336671056 | Douglas Joseph Dicola | Family Medicine | Mainegeneral Medical Center, 149 North St, Waterville, ME 04901 | 2017-03-31 |
| 1134660020 | Waterville Medical Supplies | Durable Medical Equipment & Medical Supplies | 325 Waterville Commons Drive, Waterville, ME 04901 | 2017-03-13 |
| Find all providers in zip 04901 | ||||
| Taxonomy Code | 1223G0001X |
| Grouping | Dental Providers |
| Classification | Dentist |
| Specialization | General Practice |
| 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. |
| Notes: Source: Academy of General Dentistry |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1477030815 | Benjamin William Manter | Dentist | 57 Silver St Apt 4, Waterville, ME 04901-6515 | 2018-07-27 |
| 1255823936 | Jessica Pillsbury Smith | Dentist | 93 Main St Ste 3, Waterville, ME 04901-6636 | 2018-05-30 |
| 1538449202 | William A Struve Ltd | Dentist | 204 4th St N, Waterville, MN 56096-1548 | 2011-08-25 |
| 1518269851 | Abigail Bryson Manter | Dentist | 57 Silver St., Waterville, ME 04901 | 2010-11-18 |
| 1518282003 | Peter G. Vayanos | Dentist | 98 Silver Street, Waterville, ME 04901-5935 | 2010-03-29 |
| 1295962298 | Meera Sharma | Dentist | 160 Elm Plz, Waterville, ME 04901-4936 | 2009-06-17 |
| 1538386768 | Thomas Eric Sperling | Dentist | 8225 Farnsworth Rd, Suite C, Waterville, OH 43566-9781 | 2007-04-19 |
| 1932251477 | Barry G. Argentine | Dentist | 210 Farnsworth Rd, Waterville, OH 43566-1421 | 2007-01-17 |
| 1952467540 | William Allen Struve | Dentist | 204 N 4th Street, Waterville, MN 56096 | 2006-12-28 |
| 1467526087 | George William Manter | Dentist | 57 Silver St, Waterville, ME 64901 | 2006-11-17 |
| Find all providers in WATERVILLE | ||||
| City | WATERVILLE |
| Zip Code | 04901 |
Please comment or provide details below to improve the information on DR. JAY WIETECHA.
| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.