DR. WAYNE ICHIKAWA D.D.S. M.S. NPI 1477604627

NPI Information

DR. Wayne Ichikawa, D.D.S., M.S. is an oral and maxillofacial surgery dentist in Las Vegas, NV. The provider is an oral and maxillofacial surgery dentist specialized in the diagnosis, surgical and adjunctive treatment of diseases, injuries and defects involving both the functional and esthetic aspects of the hard and soft tissues of the oral and maxillofacial region. DR. Wayne Ichikawa, D.D.S., M.S. NPI is 1477604627. 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:

1001 SHADOW LN # MS 7413
LAS VEGAS, NV
ZIP 89106-124
Phone: (702) 774-2457
Fax: (702) 774-2610

The enumeration date for this NPI number is 1/15/2007 and was last updated on 3/8/2019.

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:

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