Dr. Wayne Wilkinson Cottam
Dental Public Health Dentist - General Practice
4212 N 16th St
Phoenix
, Arizona 85016-5319
Dr. Wayne Wilkinson Cottam
Dental Public Health Dentist - General Practice
4212 N 16th St
Phoenix
, Arizona 85016-5319
(480) 984-4002
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About
Features
Specialties
- Dental Public Health
- General Practice
Languages spoken
- English
Location
First Address
- Dr. Wayne Wilkinson Cottam
- 10465 E Plata Ave
- Mesa, AZ
- Zip : 85212-1840
- Phone : (480) 984-4002
Second Address
- Dr. Wayne Wilkinson Cottam
- 4212 N 16th St
- Phoenix, AZ
- Zip : 85016-5319
- Fax : (602) 263-1637
- Phone : (602) 263-1511
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FAQs
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Is Dr. Wayne Wilkinson Cottam a sole practitioner?
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| Y | 1223D0001X | Dental Public Health | 272632-9922 | UT |
| N | 1223G0001X | General Practice | D3102 | ID |
| N | 213EG0000X | General Practice | D3102 | ID |
| N | 1223G0001X | General Practice | D7446 | OR |
| N | 213EG0000X | General Practice | D7446 | OR |
National Provider Identifier
| NPI | 1003988064 |
|---|---|
| Provider Name | Dr. Wayne Wilkinson Cottam |
| First Address | Mesa, AZ 85212-1840 |
| Second Address | Phoenix, AZ 85016-5319 |
| Gender | M |
| NPI Entity type | Individual |
| Is Sole Proprietor | No |
| Is Organization Subpart | N/A |
| Enumeration Date | 14/11/2006 |
| Last Update Date | 08/10/2012 |
Additional Identifiers
| IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
|---|---|---|
| 0410520 | BCBS (01) | AZ |
| 857740 | (05) | AZ |
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.