Provider Demographics
NPI:1043658875
Name:SCHEFF, WAYNE
Entity Type:Individual
Prefix:DR
First Name:WAYNE
Middle Name:
Last Name:SCHEFF
Suffix:
Gender:M
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:861 BRIGHTON RD
Mailing Address - Street 2:
Mailing Address - City:TONAWANDA
Mailing Address - State:NY
Mailing Address - Zip Code:14150-7048
Mailing Address - Country:US
Mailing Address - Phone:716-836-4590
Mailing Address - Fax:716-836-0672
Practice Address - Street 1:861 BRIGHTON RD
Practice Address - Street 2:
Practice Address - City:TONAWANDA
Practice Address - State:NY
Practice Address - Zip Code:14150-7048
Practice Address - Country:US
Practice Address - Phone:716-836-4590
Practice Address - Fax:716-836-0672
Is Sole Proprietor?:No
Enumeration Date:2013-06-14
Last Update Date:2013-06-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY040588122300000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes122300000XDental ProvidersDentist