Marion L. Wazney, D.D.S.

Primary specialty

Oral and Maxillofacial Surgery (Dentist)Taxonomy code 1223S0112X

License

16807 Issued in OH

Practice address

29001 Cedar Road
Suite 680
Lyndhurst, OH 44124

Phone

(440) 461-1157

Fax

(440) 461-1159

NPI assigned

Oct 3, 2006

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

State licenses

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

{
    "created_epoch": "1159833600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1203984000000",
    "number": "1922193580",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "29001 CEDAR ROAD",
            "address_2": "SUITE 680",
            "city": "LYNDHURST",
            "state": "OH",
            "postal_code": "44124",
            "telephone_number": "440-461-1157",
            "fax_number": "440-461-1159"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "29001 CEDAR ROAD",
            "address_2": "SUITE 680",
            "city": "LYNDHURST",
            "state": "OH",
            "postal_code": "44124",
            "telephone_number": "440-461-1157",
            "fax_number": "440-461-1159"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WAZNEY",
        "first_name": "MARION",
        "middle_name": "L.",
        "name_prefix": "Dr.",
        "credential": "D.D.S.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-10-03",
        "last_updated": "2008-02-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223S0112X",
            "taxonomy_group": "",
            "desc": "Dentist, Oral and Maxillofacial Surgery",
            "state": "OH",
            "license": "16807",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0485596",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Jason A Warn, D.D.S.
• Kiara Washington, QMHS
• Donelle Watson
• Sergio Watson, LPN
• Sarah Watt
• Saiydah Weems-Sholanke, RN
• Laura Frances Weil
• Marsha Weisberg
• Brian J Weiss, DPM
• Adrienne Marie Wells, LPN

• Oral and Maxillofacial Surgery (Dentist) in Lyndhurst, OH
• Providers in Lyndhurst, OH by specialty
• Oral and Maxillofacial Surgery (Dentist) in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 26, 2008; 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.