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Wayne Julian Spector, DMD
General Practice Dentistry in Ketchum, Idaho
NPI 1861600330

Wayne Julian Spector is a General Practice Dentistry based in Ketchum, ID and is specialized in General Practice. Wayne Julian Spector practices in Ketchum, ID and has the professional credentials of DMD. The NPI Number for Wayne Julian Spector is 1861600330 and holds a License No. D-1762 (Idaho).

The current practice location address for Wayne Julian Spector is 680 2Nd Ave. North, Ketchum, ID and can be reached out via phone at 208-726-7559. You can also correspond with Wayne Julian Spector through the mailing address at PO BOX 4591, KETCHUM, ID - 83340-4591 (mailing address contact number: 208-726-7559).

Location: 680 2Nd Ave. North, Ketchum, ID, 83340-4591
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1861600330
Provider Name
Wayne Julian Spector
Credential
DMD
Provider Entity Type
Individual
Gender
Male
Address
680 2Nd Ave. North, Ketchum, ID, 83340-4591
Phone Number
208-726-7559
Fax Number
Provider Enumeration Date
05/18/2007
Last Update Date
03/09/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
CS4867 01 ID ID STATE BOARD OF PHARMAC
D-1762 01 ID ID STATE BOARD OF DENTIST
institution
Provider Business Practice Location Address Details
Address
680 2Nd Ave. North
City
Ketchum
State
Idaho
Zip
83340
Phone Number
208-726-7559
Fax Number
person
Provider Business Mailing Address Details
Address
Po Box 4591
City
Ketchum
State
Idaho
Zip
83340-4591
Phone Number
208-726-7559
Fax Number
person
Provider's Taxonomy Details 1
Type
Dental Providers
Classification
Dentist
Speciality
General Practice
Taxonomy
1223G0001X
License No.
D-1762 (Idaho)
Definition
A general dentist is the primary dental care provider for patients of all ages. The general dentist is responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs.
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