Provider Demographics
NPI:1487673117
Name:WAYMENT, DAVID K (DDS)
Entity Type:Individual
Prefix:DR
First Name:DAVID
Middle Name:K
Last Name:WAYMENT
Suffix:
Gender:M
Credentials:DDS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:450 39TH ST
Mailing Address - Street 2:
Mailing Address - City:OGDEN
Mailing Address - State:UT
Mailing Address - Zip Code:84403-1838
Mailing Address - Country:US
Mailing Address - Phone:801-621-4422
Mailing Address - Fax:801-392-7467
Practice Address - Street 1:450 39TH ST
Practice Address - Street 2:
Practice Address - City:OGDEN
Practice Address - State:UT
Practice Address - Zip Code:84403-1838
Practice Address - Country:US
Practice Address - Phone:801-621-4422
Practice Address - Fax:801-392-7467
Is Sole Proprietor?:No
Enumeration Date:2006-07-19
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
UT325097-99221223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223G0001XDental ProvidersDentistGeneral Practice