Gary J Wayne DMD,PA

Primary specialty

Oral and Maxillofacial Surgery (Dentist)Taxonomy code 1223S0112X

License

DN13403 Issued in FL

Legal business name

GARY J WAYNE DMD,PA

Practice address

2500 N Military TRL
Suite 308
Boca Raton, FL 33431-6344

Phone

(561) 443-7001

NPI assigned

Aug 29, 2012

Last updated

Aug 29, 2012By 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. Gary Jon Wayne, D.M.D.NPI 1023060498

Title

President

Phone

(561) 443-7001

Specialties & licenses 1

Addresses

Locations

Practitioners 2

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.

• Gary Jon Wayne, D.M.D.

  • Oral and Maxillofacial Surgery (Dentist)
  • Boca Raton, FL
  • NPI 1023060498
  Authorized official Same address or phone
• Bruce I Braverman, DMD

  • Dentist
  • Boca Raton, FL
  • NPI 1871695817
  NPD (past)

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

{
    "created_epoch": "1346198400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1346198400000",
    "number": "1609124213",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2500 N MILITARY TRL",
            "address_2": "SUITE 308",
            "city": "BOCA RATON",
            "state": "FL",
            "postal_code": "334316344",
            "telephone_number": "561-443-7001"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2500 N MILITARY TRL",
            "address_2": "SUITE 308",
            "city": "BOCA RATON",
            "state": "FL",
            "postal_code": "334316344",
            "telephone_number": "561-443-7001"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GARY J WAYNE DMD,PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-08-29",
        "last_updated": "2012-08-29",
        "status": "A",
        "authorized_official_last_name": "WAYNE",
        "authorized_official_first_name": "GARY",
        "authorized_official_middle_name": "JON",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "561-443-7001",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.M.D."
    },
    "taxonomies": [
        {
            "code": "1223S0112X",
            "taxonomy_group": "",
            "desc": "Dentist, Oral and Maxillofacial Surgery",
            "state": "FL",
            "license": "DN13403",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Gilda Garraton, OD
• Jacinto Jose Garrido, ARNP B-C
• Kenneth J Garrod, MD
• Keith Garvin
• Gary J Wayne DMD PA
• Gary Oringer DPM
• Paula Gashi, RBT
• Gastro Health, LLC
• Gastro Health, LLC
• Gastro Health, LLC

• Oral and Maxillofacial Surgery (Dentist) in Boca Raton, FL
• Providers in Boca Raton, FL by specialty
• Oral and Maxillofacial Surgery (Dentist) in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 29, 2012; 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.