Provider Type Icon

GARY J WAYNE DMDPA NPI 1609124213


NPI Information

NPI: 1609124213
Provider Name: GARY J WAYNE DMD,PA
Classification: Dentist - 1223S0112X
Entity Type: Organization

Specialization: Oral and Maxillofacial Surgery

Address:
2500 N MILITARY TRL
SUITE 308
BOCA RATON, FL
ZIP 33431
Phone: (561) 443-7001
Get Directions

GARY J WAYNE DMD,PA is an oral and maxillofacial surgery dentist in Boca Raton, FL. The provider is the specialty of dentistry which includes 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. GARY J WAYNE DMD,PA NPI is 1609124213. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

2500 N MILITARY TRL
SUITE 308
BOCA RATON, FL
ZIP 33431-344
Phone: (561) 443-7001

The provider's authorized official is Gary Jon Wayne .
The authorized official title is President and has the following contact phone number (561) 443-7001.

The enumeration date for this NPI number is 8/29/2012 and was last updated on 8/29/2012.


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 CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
11223S0112XDentistOral and Maxillofacial SurgeryDN13403FLORIDAYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.Other Provider IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
1U51718MEDICARE UPINFLORIDA

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: 11/14/2023

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.