Dr. Jason Michael Wanuck
Pediatric Dentist
6035 Se Federal Hwy
Stuart
, Florida 34997-8104
Dr. Jason Michael Wanuck
Pediatric Dentist
6035 Se Federal Hwy
Stuart
, Florida 34997-8104
(561) 694-5707
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About
Features
Specialties
- Pediatric Dentist
Languages spoken
- English
Location
First Address
- Dr. Jason Michael Wanuck
- 255 Murcia Dr 212
- Jupiter, FL
- Zip : 33458-2747
- Phone : (561) 694-5707
Second Address
- Dr. Jason Michael Wanuck
- 6035 Se Federal Hwy
- Stuart, FL
- Zip : 34997-8104
- Phone : (772) 223-4003
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| Y | 1223P0221X | Pediatric Dentist | DN15511 | FL |
National Provider Identifier
| NPI | 1053495622 |
|---|---|
| Provider Name | Dr. Jason Michael Wanuck |
| First Address | Jupiter, FL 33458-2747 |
| Second Address | Stuart, FL 34997-8104 |
| Gender | M |
| NPI Entity type | Individual |
| Is Sole Proprietor | Yes |
| Is Organization Subpart | N/A |
| Enumeration Date | 24/10/2006 |
| Last Update Date | 08/07/2007 |
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.