Dr. Gary Jon Wayne
Oral and Maxillofacial Surgeon
2500 N Military Trl Suite 308
Boca Raton
, Florida 33431-6344
Dr. Gary Jon Wayne
Oral and Maxillofacial Surgeon
2500 N Military Trl Suite 308
Boca Raton
, Florida 33431-6344
(561) 443-7001
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About
Features
Specialties
- Oral and Maxillofacial Surgeon
Languages spoken
- English
Location
First Address
- Dr. Gary Jon Wayne
- 2500 N Military Trl Suite 308
- Boca Raton, FL
- Zip : 33431-6344
- Phone : (561) 443-7001
Second Address
- Dr. Gary Jon Wayne
- 2500 N Military Trl Suite 308
- Boca Raton, FL
- Zip : 33431-6344
- Phone : (561) 443-7001
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| Y | 1223S0112X | Oral and Maxillofacial Surgeon | DN13403 | FL |
National Provider Identifier
| NPI | 1023060498 |
|---|---|
| Provider Name | Dr. Gary Jon Wayne |
| First Address | Boca Raton, FL 33431-6344 |
| Second Address | Boca Raton, FL 33431-6344 |
| Gender | M |
| NPI Entity type | Individual |
| Is Sole Proprietor | Yes |
| Is Organization Subpart | N/A |
| Enumeration Date | 16/05/2006 |
| Last Update Date | 29/08/2012 |
Additional Identifiers
| IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
|---|---|---|
| U51718 | (02) | FL |
NPI Footnotes
What is the National Provider Identifier (NPI)
Provider Location Address
Provider Mailing Address
Entity Type Code
1= Person: individual human being who furnishes health care;
2= Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)
What is a Subpart?
Provider Other Organization Name
1 = former name;
2 = professional name;
3 = doinq business as (d/b/ a) name;
4 = former legal business name;
5 = other.