Waddell, Richard Wayne
Waddell, Richard Wayne is an individual health care provider with primary practice located at 655 7Th St Bldg 700700-A Sghc Credentials, Warner Robins GA 31098-2227. He recently has 2 registered licenses in different health care specialties including Student, Health Care / Student in an Organized Health Care Education/Training Program, Dental Providers / Dentist. Dental Providers / Dentist is his primary health care specialty. Waddell, Richard Wayne can be contacted via phone (478) 327-8095.Contact Information
Primary practice address
655 7Th St Bldg 700700-A Sghc Credentials
Warner Robins GA 31098-2227
Phone: (478) 327-8095
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Student, Health Care / Student in an Organized Health Care Education/Training Program | 390200000X | 60426 | California |
| Dental Providers / Dentist | 122300000X | 60426 | California |
Profile Details
| NPI number | 1063790194 |
|---|---|
| LBN Legal business name | Waddell, Richard Wayne |
| Credentials | Doctor of Dental Surgery (DDS) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jul 22nd, 2011 |
| Last updated | Sep 21st, 2016 - about 9 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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