Provider Demographics
NPI:1548390263
Name:HARPER, WAYNE CHRISTOPHER (DDS)
Entity Type:Individual
Prefix:DR
First Name:WAYNE
Middle Name:CHRISTOPHER
Last Name:HARPER
Suffix:
Gender:M
Credentials:DDS
Other - Prefix:DR
Other - First Name:WAYNE
Other - Middle Name:CHRISTOPHER
Other - Last Name:HARPER
Other - Suffix:
Other - Last Name Type:Professional Name
Other - Credentials:DDS
Mailing Address - Street 1:1800 SE 17TH ST
Mailing Address - Street 2:SUITE 602
Mailing Address - City:OCALA
Mailing Address - State:FL
Mailing Address - Zip Code:34471-4191
Mailing Address - Country:US
Mailing Address - Phone:352-867-7181
Mailing Address - Fax:
Practice Address - Street 1:1800 SE 17TH ST
Practice Address - Street 2:SUITE 602
Practice Address - City:OCALA
Practice Address - State:FL
Practice Address - Zip Code:34471-4191
Practice Address - Country:US
Practice Address - Phone:352-867-7181
Practice Address - Fax:352-867-0439
Is Sole Proprietor?:Yes
Enumeration Date:2007-03-06
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLDN100691223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223G0001XDental ProvidersDentistGeneral Practice