Dr. Jeremy D Wano, DMD
Dentist, General Practice in Mystic, Connecticut
1396167862- Practice location
- 75 Steamboat Wharf, Apt 35, Mystic, CT 06355-2546
- Phone
- 724-787-1661
- Fax
- —
- Last updated
- January 17, 2014
Jeremy David Wano is a Dentist, General Practice based in Mystic, CT. Jeremy David Wano practices in Mystic, CT and has the professional credentials of DMD. The NPI Number for Jeremy David Wano is 1396167862 and holds a License No. 8774121-9921 (UT). The current practice location address for Jeremy David Wano is 75 Steamboat Wharf, Apt 35, Mystic, CT 06355-2546 and can be reached out via phone at 724-787-1661.
Provider Profile Details
- NPI Number
- 1396167862
- Provider Name
- Jeremy David Wano
- Credential
- DMD
- Provider Entity Type
- Individual
- Gender
- Male
- Address
- 75 Steamboat Wharf, Apt 35, Mystic, CT 06355-2546
- Phone Number
- 724-787-1661
- Primary Taxonomy
- Dentist, General Practice · 1223G0001X
- Sole Proprietor
- No
- Provider Enumeration Date
- January 17, 2014
- Last Update Date
- January 17, 2014
- NPI Status
- Active
Provider Business Practice Location Address Details
- Address
- 75 Steamboat Wharf
Apt 35
Mystic, CT 06355-2546 - City
- Mystic
- State
- Connecticut
- Zip
- 06355-2546
- Phone Number
- 724-787-1661
Provider Business Mailing Address Details
- Address
- 1 Wahoo Drive
Naval Branch Health Clinic
Groton, CT 06349 - City
- Groton
- State
- CT
- Zip
- 06349
- Phone Number
- 860-649-3129
License Information
- License Number
- 8774121-9921
- License State
- UT
- Taxonomy
- Dentist, General Practice · 1223G0001X · Primary
Legacy Identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider. | |||
Other Dentist, General Practice providers near Mystic, CT
View all Dentist, General Practice providers in Mystic →- Dr. Dennis F Flanagan, DDSDentist, General Practice · NPI 1588797419
- Dr. Joseph Kuzmic, DDSDentist, General Practice · NPI 1962556712
- Dr. Madlene EskaroseDentist, General Practice · NPI 1225146707
- Dr. Mark Fallon, DMDDentist, General Practice · NPI 1780738542
- Dr. Michael Smyle, DDSDentist, General Practice · NPI 1336293109
- Dr. Sally Vail & Dr. Linda Robson, PCDentist, General Practice · NPI 1720208796
Frequently Asked Questions
What is the NPI number of Dr. Jeremy D Wano, DMD?
The NPI number of Dr. Jeremy D Wano, DMD is 1396167862. It was assigned on January 17, 2014 and is currently active in the NPPES registry.
What is the specialty of Dr. Jeremy D Wano, DMD?
Dr. Jeremy D Wano, DMD is registered under the primary taxonomy Dentist, General Practice (code 1223G0001X), licensed in UT under license number 8774121-9921.
Where does Dr. Jeremy D Wano, DMD practice?
The practice location is 75 Steamboat Wharf, Apt 35, Mystic, CT 06355-2546. The office can be reached at 724-787-1661 (phone).
What is an NPI number?
A National Provider Identifier (NPI) is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). It is used in HIPAA standard transactions.
How do I verify this NPI record?
This record is sourced from the public NPPES NPI Registry maintained by CMS. You can confirm it by searching NPI 1396167862 directly on the NPPES registry website.