Peavy, Wayne Winfred

Peavy, Wayne Winfred is an sole proprietor health care provider with primary practice located at 2902 Denton Highway , Haltom City TX 76117. He recently has only one registered license in Dental Providers / General Practice, which is considered as his primary health care specialty. Peavy, Wayne Winfred can be contacted via phone (817) 838-7611.

Contact Information

Primary practice address
2902 Denton Highway Haltom City TX 76117
Fax: (817) 838-8941
Website:

Health care specialties

SpecialtyCodeLicense #State
Dental Providers / General Practice 1223G0001X 8990 Texas

Profile Details

NPI number 1396965133
LBN Legal business name Peavy, Wayne Winfred
Credentials Doctor of Dental Surgery (DDS)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Apr 26th, 2007
Last updated Dec 3rd, 2014 - about 10 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.

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