Wayne E. Pickett DDS PLC

Primary specialty

Dental Clinic/CenterTaxonomy code 261QD0000X

Legal business name

WAYNE E. PICKETT DDS PLC

Practice address

4930 Elizabeth Lake Rd
Waterford, MI 48327-2738

Phone

(248) 682-2300

Fax

(248) 420-9313

NPI assigned

Aug 5, 2022

Last updated

Aug 5, 2022By 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. Wayne E Pickett, DDSNPI 1144492067

Title

Owner

Phone

(248) 682-2300

Specialties & licenses 1

Addresses

Locations

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.

• Wayne Eric Pickett, DDS

  • General Practice Dentistry
  • Waterford, MI
  • NPI 1144492067
  NPD Authorized official

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

{
    "created_epoch": "1659657600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1659657600000",
    "number": "1548997950",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4930 ELIZABETH LAKE RD",
            "city": "WATERFORD",
            "state": "MI",
            "postal_code": "483272738",
            "telephone_number": "248-682-2300",
            "fax_number": "248-420-9313"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4930 ELIZABETH LAKE RD",
            "city": "WATERFORD",
            "state": "MI",
            "postal_code": "483272738",
            "telephone_number": "248-682-2300",
            "fax_number": "248-420-9313"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WAYNE E. PICKETT DDS PLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-08-05",
        "last_updated": "2022-08-05",
        "certification_date": "2022-08-05",
        "status": "A",
        "authorized_official_last_name": "PICKETT",
        "authorized_official_first_name": "WAYNE",
        "authorized_official_middle_name": "E",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "248-682-2300",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "261QD0000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Dental",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Waterford Surgical Center, LLC
• Waterford Urgent Care PC
• Waterford Urgent Care PC
• James Watson
• Sharon Ann Watts, LBSW
• Wayne G. Wilde, O.D., P.C.
• Sharon Weaver, PT
• Rolecia Webb, LLMSW
• Charles Weems, LLMSW
• Thomas E Weiberg

• Dental Clinic/Center in Waterford, MI
• Providers in Waterford, MI by specialty
• Dental Clinic/Center in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 5, 2022; 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.