Provider Demographics
NPI:1336258151
Name:LONEY, WAYNE W JR (DDS, MS)
Entity Type:Individual
Prefix:DR
First Name:WAYNE
Middle Name:W
Last Name:LONEY
Suffix:JR
Gender:M
Credentials:DDS, MS
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Mailing Address - Street 1:411 LANTERN BEND DR
Mailing Address - Street 2:SUITE 210
Mailing Address - City:HOUSTON
Mailing Address - State:TX
Mailing Address - Zip Code:77090-2833
Mailing Address - Country:US
Mailing Address - Phone:281-444-1984
Mailing Address - Fax:281-586-0173
Practice Address - Street 1:411 LANTERN BEND DR
Practice Address - Street 2:SUITE 210
Practice Address - City:HOUSTON
Practice Address - State:TX
Practice Address - Zip Code:77090-2833
Practice Address - Country:US
Practice Address - Phone:281-444-1984
Practice Address - Fax:281-586-0173
Is Sole Proprietor?:No
Enumeration Date:2006-08-29
Last Update Date:2010-07-20
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Provider Licenses
StateLicense IDTaxonomies
TX208411223S0112X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223S0112XDental ProvidersDentistOral and Maxillofacial Surgery