NPI 1578610077 · live from the CMS NPI Registry
Wayne B. Hickory, D.M.D., M.D.S.
Dentist, Orthodontics and Dentofacial Orthopedics in Washington, DC. National Provider Identifier 1578610077, active.
NPI record
| NPI | 1578610077 Type 1 · individual |
|---|---|
| Status | Active |
| Primary specialty | Dentist, Orthodontics and Dentofacial Orthopedics 1223X0400X |
| Practice location | 2132 R St Nw, Washington, DC 20008 |
| Practice phone | 202-518-5910 |
| Enumerated | January 5, 2007 |
| Last updated | July 8, 2007 |
| Sole proprietor | Yes |
Taxonomies and licenses
| Taxonomy | Code | License |
|---|---|---|
| Dentist, Orthodontics and Dentofacial Orthopedics primary | 1223X0400X | DEN 5856 (DC) |
Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.