Michael Norbert Wajdowicz, DDS

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

15274 Issued in TX

Practice address

301 Fisher St
Keesler Afb, MS 39534-2508

Phone

(228) 376-5118

NPI assigned

Jun 7, 2006

Sex

Male

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1149638400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1529107200000",
    "number": "1720028889",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "301 FISHER STREET",
            "city": "KEESLER A F B",
            "state": "MS",
            "postal_code": "395345511",
            "telephone_number": "228-376-5118"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "301 FISHER ST",
            "city": "KEESLER AFB",
            "state": "MS",
            "postal_code": "395342508",
            "telephone_number": "228-376-5118"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WAJDOWICZ",
        "first_name": "MICHAEL",
        "middle_name": "NORBERT",
        "name_prefix": "Dr.",
        "credential": "DDS",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-06-07",
        "last_updated": "2018-06-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "TX",
            "license": "15274",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Tanner G Van Es, DO
• Amberly Rachel Vaughan, MD
• Jared C Vaughan, MD
• Jared Lee Vinson, DO
• Lynn Vix, M.D.
• John Waldron, MD
• Benjamin Mark Watson, MD
• James Matthew Watson, MD
• John Devin Blackwell Watson, M.D.
• Daniel John Wattendorf, M.D.

• General Practice Dentistry in Keesler Afb, MS
• Providers in Keesler Afb, MS by specialty
• General Practice Dentistry in Mississippi

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 16, 2018; 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.