Wayland Antonio Easley in Providence - Oral And Maxillofacial Surgery
Wayland Antonio Easley - NPI 1770780645
Wayland Antonio Easley is a Oral And Maxillofacial Surgery in Providence, Rhode Island. Wayland Antonio Easley practices all healthcare services and medical treatments related to Oral And Maxillofacial Surgery. The NPI Number for Wayland Antonio Easley is 1770780645. The last update date is 2008-10-12.
Wayland Antonio Easley's current location address is 69 Governor St, Providence, Rhode Island. You can contact this provider via phone number 4017492345. The mailing address for Wayland Antonio Easley is 69 Governor St, Providence, Rhode Island. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Wayland Antonio Easley |
|---|---|
| Address | 69 Governor St, Providence, Rhode Island |
| Phone Number | 4017492345 |
| Fax Number | |
| Sole Proprietor | N |
| Credentials | D.D.S. |
NPI Number Detail
| NPI Number | 1770780645 |
|---|---|
| Provider Enumeration Date | 2007-07-02 |
| Last Updated Date | 2008-10-12 |
Provider Mailing Address Detail
| Address | 69 Governor St |
|---|---|
| City | Providence |
| State | Rhode Island (RI) |
| Post Code | 29063008 |
| Phone Number | 4017492345 |
| Fax Number |
Provider's Primary Taxonomy Detail
| Speciality | Oral And Maxillofacial Surgery |
|---|---|
| Taxonomy | 1223S0112X |
| Licence No | 0223000 MASS |
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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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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| WE57613 | RI | -- | |
| 223000 | MA | DORAL : BMC HEALTH PLAN,NEIGHB | |
| 223000 | MA | -- |
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What is the unique 10-digit identifier code issued to Wayland Antonio Easley by the Centers for Medicare & Medicaid Services?
The Wayland Antonio Easley has been assigned the NPI (National Provider Identifier) 1770780645 by the CMS (Centers for Medicare & Medicaid Services). This 10-digit code serves as a unique identification number for healthcare providers.
Where is the Wayland Antonio Easley located?
The Wayland Antonio Easley is located at 69 Governor St, Providence, RI 29063008.
What is Wayland Antonio Easley's specialized field of practice, and what is the corresponding taxonomy code that categorizes this area of expertise?
The area of specialization for Wayland Antonio Easley is Oral And Maxillofacial Surgery, and the taxonomy code that classifies this field of practice is 1223S0112X.
On what date did the Centers for Medicare & Medicaid Services originally issue the 1770780645 to Wayland Antonio Easley?
The Centers for Medicare & Medicaid Services originally issued the 1770780645 to Wayland Antonio Easley on 2007-07-02.
When was the information related to Wayland Antonio Easley most recently updated or refreshed?
The details pertaining to the Wayland Antonio Easley, including its address, specialty, and other relevant information, were last updated or refreshed on 2008-10-12.