Doctors Garrard and Wayment Dentists PLLC
Organization Active NPI General Practice Dentistry · Rupert, ID
NPI 1497974141 · NPPES record last updated Mar 8, 2016
Key facts
- NPI
- 1497974141
- Entity type
- Organization (NPI type 2)
- Primary specialty
- General Practice Dentistry 1223G0001X
- License
- D3400 (ID)
- Legal business name
- DOCTORS GARRARD AND WAYMENT DENTISTS PLLC
- Practice address
- 301 Scott Ave
Ste #3
Rupert, ID 83350-1800 - Phone
- (208) 436-6406
- Fax
- (208) 436-9678
- NPI assigned
- Apr 24, 2007
- Organization subpart
- No
Authorized official
- Name
- Dr. John R Garrard, D.D.S.
- Title
- Partner
- Phone
- (208) 436-6406
Practitioners 4
-
John R Garrard, D.D.S.
-
Charle A Warren, D.D.S.
-
Robert P Wayment, DDS
-
Gerald A Woodworth, D.M.D.
National Provider Directory
Locations
301 Scott Ave
Ste 3
Rupert, ID 83350
Phone (208) 436-6406
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| General Practice Dentistry |
1223G0001X | D3400 | ID | Yes |
| General Practice Dentistry |
1223G0001X | D3965 | ID |
Addresses
Primary practice location
301 Scott Ave
Ste #3
Rupert, ID 83350-1800
Mailing address
PO Box 338
Rupert, ID 83350-0338
Phone (208) 436-6406
Other providers in Rupert, ID
- Charles Malcolm Clair Jr.
- John B Clayton
- Tanya Reid Crystal
- Mark Dahle
- Daybreak Canyon
- Aleksandr Doroshkin
- Jason Richard Dubois
- Rachel D Durrant
- Eq Counseling, LLC
- Eq Therapy for Kids, LLC
All providers in Rupert, ID · General Practice Dentistry in Idaho
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Mar 8, 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.