Melvin Sylvester Waymire Jr., DDS
Individual provider Active NPI Public Health Dentistry · Hyber Heights, OH
NPI 1316057151 · NPPES record last updated Jul 19, 2016
Key facts
- NPI
- 1316057151
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Public Health Dentistry 1223D0001X
- License
- 30016716 (OH)
- Practice address
- 7480 Brandt Pike
Hyber Heights, OH 45424-3240 - Phone
- (937) 237-7170
- Fax
- (937) 237-7135
- NPI assigned
- Aug 30, 2006
- Sex
- Male
- Sole proprietor
- No
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- Yes
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 30016716 | OH | MD | Public Health Dentist |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| General Practice Dentistry | 1223G0001X | 30016716 | OH | |
| Public Health Dentistry | 1223D0001X | 30016716 | OH | Yes |
Addresses
Primary practice location
7480 Brandt Pike
Hyber Heights, OH 45424-3240
Mailing address
7480 Brandt Pike
Huber Heights, OH 45424-3240
Phone (937) 237-7170
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jul 19, 2016. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.