DR. JOHN PHILLIP WASCHAK DDS NPI 1265632715

NPI Information

NPI: 1265632715
Provider Name: DR. JOHN PHILLIP WASCHAK, DDS
Classification: Dentist - 1223P0221X
Entity Type: Individual

Specialization: Pediatric Dentistry

Address:
560 NE E ST
GRANTS PASS, OR
ZIP 97526
Phone: (541) 476-8383
Get Directions

DR. John Phillip Waschak, DDS is a pediatric dentistry dentist in Grants Pass, OR. The provider is an age-defined specialty that provides both primary and comprehensive preventive and therapeutic oral health care for infants and children through adolescence, including those with special health care needs. DR. John Phillip Waschak, DDS NPI is 1265632715. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

The provider's business location address is:

560 NE E ST
GRANTS PASS, OR
ZIP 97526-326
Phone: (541) 476-8383
Fax: (541) 470-0751

The enumeration date for this NPI number is 7/23/2007 and was last updated on 12/15/2009.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	1223X0400X	Dentist	Orthodontics and Dentofacial Orthopedics	D9097	OREGON	No
2	1223P0221X	Dentist	Pediatric Dentistry	55033	CALIFORNIA	No
3	1223X0400X	Dentist	Orthodontics and Dentofacial Orthopedics	55033	CALIFORNIA	No
4	1223P0221X	Dentist	Pediatric Dentistry	D9097	OREGON	Yes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

NPI Synchronization or Removal

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