Jennifer Holland Wayer, DMD

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

D-0004972 Issued in AL

Practice address

1860 E Three Notch St
Andalusia, AL 36421-2404

Phone

(850) 683-3544

Fax

(850) 683-4503

NPI assigned

Oct 2, 2006

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Enrolled in AL

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: No
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Dentistry With Purpose

  • Dental Clinic/Center
  • Andalusia, AL
  • NPI 1730067505
  NPD Authorized official

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

{
    "created_epoch": "1159747200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1755734400000",
    "number": "1831282953",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6101 STAFF RD",
            "city": "CRESTVIEW",
            "state": "FL",
            "postal_code": "325364307",
            "telephone_number": "850-902-0057"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1860 E THREE NOTCH ST",
            "city": "ANDALUSIA",
            "state": "AL",
            "postal_code": "364212404",
            "telephone_number": "850-683-3544",
            "fax_number": "850-683-4503"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WAYER",
        "first_name": "JENNIFER",
        "middle_name": "HOLLAND",
        "name_prefix": "Dr.",
        "credential": "DMD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-10-02",
        "last_updated": "2025-08-21",
        "certification_date": "2025-08-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "AL",
            "license": "D-0004972",
            "primary": true
        },
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "FL",
            "license": "DN15176",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Walgreen Co
• Katy Walsh, DPT
• Allen McCreary Ward, DMD
• Jon D Ward
• Kimberly Thomas Ward, DMD, MPH, MS
• Grover Ashton Wells III, M.D.
• Michael A. Wells, M.D.
• Miranda Patterson Wiggins, CRNP
• Pamela Denise Wilkerson
• William M Davidson PC

• General Practice Dentistry in Andalusia, AL
• Providers in Andalusia, AL by specialty
• General Practice Dentistry in Alabama

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 21, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.