Vicki L Waits
Dental Public Health
15 S Clayton St
Lawrenceville
, Georgia 30045-5715
Vicki L Waits
Dental Public Health
15 S Clayton St
Lawrenceville
, Georgia 30045-5715
(770) 339-4297
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About
Features
Specialties
- Dental Public Health
Languages spoken
- English
Location
First Address
- Vicki L Waits
- Po Box 897
- Lawrenceville, GA
- Zip : 30046-0897
- Fax : (770) 339-4297
- Phone : (770) 339-4260
Second Address
- Vicki L Waits
- 15 S Clayton St
- Lawrenceville, GA
- Zip : 30045-5715
- Fax : (770) 279-5983
- Phone : (770) 638-5708
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| Y | 1223D0001X | Dental Public Health | DN009981 | GA |
National Provider Identifier
| NPI | 1154388700 |
|---|---|
| Provider Name | Vicki L Waits |
| First Address | Lawrenceville, GA 30046-0897 |
| Second Address | Lawrenceville, GA 30045-5715 |
| Gender | F |
| NPI Entity type | Individual |
| Is Sole Proprietor | No |
| Is Organization Subpart | N/A |
| Enumeration Date | 27/04/2006 |
| 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.