John Lyndon Wasdin, D.M.D.

Primary specialty

Pediatric DentistryTaxonomy code 1223P0221X

License

DN011889 Issued in GA

Practice address

1501 Brampton Ave
Statesboro, GA 30458-0856

Phone

(912) 871-6197

Fax

(912) 871-6203

NPI assigned

Feb 13, 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": "1139788800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1783900800000",
    "number": "1821061557",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1501 BRAMPTON AVE",
            "city": "STATESBORO",
            "state": "GA",
            "postal_code": "304580856",
            "telephone_number": "912-871-6197",
            "fax_number": "912-871-6203"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1501 BRAMPTON AVE",
            "city": "STATESBORO",
            "state": "GA",
            "postal_code": "304580856",
            "telephone_number": "912-871-6197",
            "fax_number": "912-871-6203"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WASDIN",
        "first_name": "JOHN",
        "middle_name": "LYNDON",
        "name_prefix": "Dr.",
        "credential": "D.M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-02-13",
        "last_updated": "2026-07-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223P0221X",
            "taxonomy_group": "",
            "desc": "Dentist, Pediatric Dentistry",
            "state": "GA",
            "license": "DN011889",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Rebecca Hobbs Ward, R.N.
• Warren Marshall Ward, D.C.
• Shakayla Ware, LPC
• Marsha Foster Warren, LPC
• Katie Warrington
• Sidney R Washington III, MD
• David Watkins, RN
• Sebrina Madelyn Watkins, PA-C
• James Daniel Weathers, M.D.
• Trevor Weathersby, CRNA

• Pediatric Dentistry in Statesboro, GA
• Providers in Statesboro, GA by specialty
• Pediatric Dentistry in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 13, 2026; 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.