Provider Demographics
NPI:1760491864
Name:SANKEY, WAYNE LEE (DDS)
Entity Type:Individual
Prefix:DR
First Name:WAYNE
Middle Name:LEE
Last Name:SANKEY
Suffix:
Gender:M
Credentials:DDS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Other - Credentials:
Mailing Address - Street 1:2845 MORRISS RD
Mailing Address - Street 2:
Mailing Address - City:FLOWER MOUND
Mailing Address - State:TX
Mailing Address - Zip Code:75028-3662
Mailing Address - Country:US
Mailing Address - Phone:972-539-4747
Mailing Address - Fax:972-539-6657
Practice Address - Street 1:2845 MORRISS RD
Practice Address - Street 2:
Practice Address - City:FLOWER MOUND
Practice Address - State:TX
Practice Address - Zip Code:75028-3662
Practice Address - Country:US
Practice Address - Phone:972-539-4747
Practice Address - Fax:972-539-6657
Is Sole Proprietor?:Yes
Enumeration Date:2006-08-07
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX192161223X0400X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223X0400XDental ProvidersDentistOrthodontics and Dentofacial Orthopedics