Jennifer H Wayer DMD PA

Primary specialty

DentistTaxonomy code 122300000X

License

DN15176 Issued in FL

Legal business name

JENNIFER H WAYER DMD PA

Doing business as

Crestview Family Dentistry

Practice address

502 E Hickory Ave
Crestview, FL 32536

Phone

(850) 683-3544

Fax

(850) 683-4503

NPI assigned

Nov 20, 2006

Last updated

Aug 22, 2020By the provider in NPPES

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Dr. Jennifer H Wayer, DMDNPI 1831282953

Title

President

Phone

(850) 683-3544

Specialties & licenses 1

Addresses

Other names 1

• Crestview Family Dentistry Doing business as

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Jennifer Holland Wayer, DMD

  • General Practice Dentistry
  • Andalusia, AL
  • NPI 1831282953
  Authorized official Same address or phone

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1163980800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1073687802",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "502 E HICKORY AVE",
            "city": "CRESTVIEW",
            "state": "FL",
            "postal_code": "32536",
            "telephone_number": "850-683-3544",
            "fax_number": "850-683-4503"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "502 E HICKORY AVE",
            "city": "CRESTVIEW",
            "state": "FL",
            "postal_code": "32536",
            "telephone_number": "850-683-3544",
            "fax_number": "850-683-4503"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JENNIFER H WAYER DMD PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-11-20",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "WAYER",
        "authorized_official_first_name": "JENNIFER",
        "authorized_official_middle_name": "H",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "850-683-3544",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DMD"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist",
            "state": "FL",
            "license": "DN15176",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Crestview Family Dentistry",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Melanie R James, BCBA
• Theron Quentin Jameson, DO
• Jason G Seymour DMD & Kathleen Haley-Seymour DMD, PA
• Ruth Jenkins
• Tanya Tamika Jenkins, FNP
• Darlene Ivonne Jester
• Tana H Jeter, M.A, CCC-SLP
• John D. Carlson MD
• Jessica L Johnson Simmons
• Adrianne R Johnson

• Dentist in Crestview, FL
• Providers in Crestview, FL by specialty
• Dentist in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.