Provider Demographics
NPI:1881724821
Name:WAYMAN, JOSH J (DDS)
Entity type:Individual
Prefix:DR
First Name:JOSH
Middle Name:J
Last Name:WAYMAN
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 1:111 W KINGSTON SPRINGS RD
Mailing Address - Street 2:STE 101
Mailing Address - City:KINGSTON SPRINGS
Mailing Address - State:TN
Mailing Address - Zip Code:37082-9121
Mailing Address - Country:US
Mailing Address - Phone:615-952-4210
Mailing Address - Fax:615-952-4081
Practice Address - Street 1:5110 MARYLAND WAY
Practice Address - Street 2:SUITE 190
Practice Address - City:BRENTWOOD
Practice Address - State:TN
Practice Address - Zip Code:37027-7508
Practice Address - Country:US
Practice Address - Phone:615-373-2030
Practice Address - Fax:615-373-7059
Is Sole Proprietor?:Yes
Enumeration Date:2007-03-07
Last Update Date:2016-09-19
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
TN6217622641223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223G0001XDental ProvidersDentistGeneral Practice