Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
DR. JOHN PHILLIP WASCHAK, DDS
Active Sole ProprietorDR. JOHN PHILLIP WASCHAK, DDS is a Pediatric Dentistry healthcare provider located in GRANTS PASS, Oregon. NPI 1265632715 is currently active in the NPPES registry. Verify at CMS.
Pediatric Dentistry · GRANTS PASS, OR
Registration Details
- NPI Number
- 1265632715
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Jul 23, 2007 (19.023681193374 yrs)
- Last Updated
- Dec 15, 2009
- Licenses
-
D9097 (OR)55033 (CA)55033 (CA)D9097 (OR)
- Sole Proprietor
- Yes
Practice Information
- Address
-
560 NE E STGRANTS PASS, OR, 975262326Browse OR providers · Browse ZIP 97526
- Phone
- 5414768383
- Fax
- 5414700751
- Primary Specialty
-
Pediatric Dentistry
1223P0221X
- Additional Specialty
- Pediatric Dentistry
- Additional Specialty
- Orthodontics
- Additional Specialty
- Pediatric Dentistry
Other Pediatric Dentistry Providers in GRANTS PASS, OR
| Name | Credential | NPI |
|---|---|---|
| DR. JAMES BRANT DARBY | DDS | 1477528388 |
| ADAM BAHR | DDS | 1902265440 |
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.