Provider Demographics
NPI:1578978581
Name:DOBBINS, WAYNE (DDS, MS)
Entity Type:Individual
Prefix:
First Name:WAYNE
Middle Name:
Last Name:DOBBINS
Suffix:
Gender:M
Credentials:DDS, MS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:924 TOURTELLOT HILL RD
Mailing Address - Street 2:
Mailing Address - City:SCITUATE
Mailing Address - State:RI
Mailing Address - Zip Code:02857-1229
Mailing Address - Country:US
Mailing Address - Phone:480-343-5072
Mailing Address - Fax:
Practice Address - Street 1:7381 W 133RD ST STE 303
Practice Address - Street 2:
Practice Address - City:OVERLAND PARK
Practice Address - State:KS
Practice Address - Zip Code:66213-4779
Practice Address - Country:US
Practice Address - Phone:480-343-5072
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2014-06-27
Last Update Date:2019-04-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
KS612271223P0221X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223P0221XDental ProvidersDentistPediatric Dentistry