Provider Demographics
NPI:1396950192
Name:LINGUITI, WAYNE (DMD)
Entity type:Individual
Prefix:DR
First Name:WAYNE
Middle Name:
Last Name:LINGUITI
Suffix:
Gender:M
Credentials:DMD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:609 INVERNESS PL
Mailing Address - Street 2:
Mailing Address - City:MARTINEZ
Mailing Address - State:GA
Mailing Address - Zip Code:30907-9556
Mailing Address - Country:US
Mailing Address - Phone:706-738-8898
Mailing Address - Fax:706-738-0035
Practice Address - Street 1:210 ROBERT C DANIEL JR PKWY
Practice Address - Street 2:SUITE G
Practice Address - City:AUGUSTA
Practice Address - State:GA
Practice Address - Zip Code:30909-0806
Practice Address - Country:US
Practice Address - Phone:706-738-8898
Practice Address - Fax:706-738-0035
Is Sole Proprietor?:No
Enumeration Date:2007-05-14
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
GA10559122300000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes122300000XDental ProvidersDentist