Jennifer H Wayer DMD PA

Primary specialty

DentistTaxonomy code 122300000X

License

DN15176 Issued in FL

Legal business name

JENNIFER H WAYER DMD PA

Practice address

502 E Hickory Ave
Crestview, FL 32536

Phone

(850) 683-3544

Fax

(850) 683-4503

NPI assigned

Nov 20, 2006

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, DMD

Title

President

Phone

(850) 683-3544

Specialties & licenses 1

Addresses

Other names 1

• Crestview Family Dentistry Doing business as

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.