Wayne H Dudley in Nellis Afb - Oral And Maxillofacial Surgery
Wayne H Dudley - NPI 1952383002
Wayne H Dudley is a Oral And Maxillofacial Surgery in Nellis Afb, Nevada. Wayne H Dudley practices all healthcare services and medical treatments related to Oral And Maxillofacial Surgery. The NPI Number for Wayne H Dudley is 1952383002. The last update date is 2007-07-08.
Wayne H Dudley's current location address is 4700 Las Vegas Blvd N, Nellis Afb, Nevada. You can contact this provider via phone number 7026532600 and fax number 7026532682. The mailing address for Wayne H Dudley is 4700 Las Vegas Blvd N, Nellis Afb, Nevada. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Wayne H Dudley |
|---|---|
| Address | 4700 Las Vegas Blvd N, Nellis Afb, Nevada |
| Phone Number | 7026532600 |
| Fax Number | 7026532682 |
| Sole Proprietor | X |
| Credentials | -- |
NPI Number Detail
| NPI Number | 1952383002 |
|---|---|
| Provider Enumeration Date | 2005-11-15 |
| Last Updated Date | 2007-07-08 |
Provider Mailing Address Detail
| Address | 4700 Las Vegas Blvd N |
|---|---|
| City | Nellis Afb |
| State | Nevada (NV) |
| Post Code | 891916600 |
| Phone Number | 7026532600 |
| Fax Number | 7026532682 |
Provider's Primary Taxonomy Detail
| Speciality | Oral And Maxillofacial Surgery |
|---|---|
| Taxonomy | 1223S0112X |
| Licence No | 143697-9924 |
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Definition: 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. |
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What is the Wayne H Dudley's 1952383002?
The Wayne H Dudley's NPI (National Provider Identifier) Number is 1952383002. This unique 10-digit identification number is assigned to health care providers by the Centers for Medicare & Medicaid Services (CMS).
Could you please share the complete physical address where Wayne H Dudley is geographically located?
The Wayne H Dudley is physically situated at the following location: 4700 Las Vegas Blvd N, Nellis Afb, NV, 891916600.
What is Wayne H Dudley's specialized field of practice, and what is the corresponding taxonomy classification code?
The Wayne H Dudley's area of specialization is Oral And Maxillofacial Surgery, and the corresponding taxonomy code that categorizes this field of practice is 1223S0112X.
When was the Wayne H Dudley's 1952383002 issued?
The Wayne H Dudley's 1952383002 was issued on 2005-11-15.
When was the Wayne H Dudley's information last updated?
The Wayne H Dudley's information was last updated on 2007-07-08.
NPI Number: 1215930425
Address: 224 W Exchange St, Akron, OH