Herman, Wayne William
Herman, Wayne William is an individual health care provider with primary practice located at 1430 John Wesley Gilbert Drive Gc-1024, Augusta GA 30912-1001. He recently has only one registered license in Dental Providers / General Practice, which is considered as his primary health care specialty. Herman, Wayne William can be contacted via phone (706) 721-9633.Contact Information
Primary practice address
1430 John Wesley Gilbert Drive Gc-1024
Augusta GA 30912-1001
Phone: (706) 721-9633
Fax: (706) 723-0266
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Dental Providers / General Practice | 1223G0001X | DNF000233 | Georgia |
Profile Details
| NPI number | 1407809601 |
|---|---|
| LBN Legal business name | Herman, Wayne William |
| Credentials | Doctor of Dental Surgery (DDS) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | May 18th, 2006 |
| Last updated | Jan 12th, 2012 - about 13 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1407809601 | NPPES |
| South Carolina | MEDICAID | ZG3166 | |
| South Carolina | MEDICAID | 000536071A |
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