Provider Demographics
NPI:1922248004
Name:WAYMENT, NATHAN STRATFORD (DDS)
Entity Type:Individual
Prefix:DR
First Name:NATHAN
Middle Name:STRATFORD
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 1:5841 DORTON LN
Mailing Address - Street 2:
Mailing Address - City:GLEN ALLEN
Mailing Address - State:VA
Mailing Address - Zip Code:23060-3441
Mailing Address - Country:US
Mailing Address - Phone:804-334-8262
Mailing Address - Fax:
Practice Address - Street 1:5841 DORTON LN
Practice Address - Street 2:
Practice Address - City:GLEN ALLEN
Practice Address - State:VA
Practice Address - Zip Code:23060-3441
Practice Address - Country:US
Practice Address - Phone:804-334-8262
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2009-03-02
Last Update Date:2009-03-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
UT7197367-99241223E0200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223E0200XDental ProvidersDentistEndodontics