DR. Richard Wayne Waddell, D.D.S

NPI #1063790194 in Warner Robins, Georgia

Provider Information

NPI Number: 1063790194
Entity Type: Individual
Name: DR. Richard Wayne Waddell, D.D.S
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Dentist
Credential: D.D.S
Enumeration Date: Jul 22, 2011
Last Updated: Sep 21, 2016

Practice Location

Address: 655 7TH ST BLDG 700700-A
Address 2: SGHC CREDENTIALS
City: Warner Robins
State: Georgia
ZIP Code: 31098-2227
Phone: (478) 327-8095

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Student in an Organized Health Care Education/Training Program	390200000X
Dentist	122300000X	Primary

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