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Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

DR. WAYNE ICHIKAWA, D.D.S., M.S.

Active Sole Proprietor

DR. WAYNE ICHIKAWA, D.D.S., M.S. is a Oral & Maxillofacial Surgery healthcare provider located in LAS VEGAS, Nevada. NPI 1477604627 is currently active in the NPPES registry. Verify at CMS.

Oral & Maxillofacial Surgery · LAS VEGAS, NV

Registration Details

NPI Number
1477604627
Provider Type
Individual
Gender
Male
NPI Issued
Jan 15, 2007 (19.544664842417 yrs)
Last Updated
Mar 8, 2019
Licenses
29954 (CA)
S2-147C (NV)
Sole Proprietor
Yes

Practice Information

Address
1001 SHADOW LN # MS 7413
LAS VEGAS, NV, 891064124
Browse NV providers · Browse ZIP 89106
Phone
7027742457
Fax
7027742610
Primary Specialty
Oral & Maxillofacial Surgery
1223S0112X
Additional Specialty
Oral & Maxillofacial Surgery

Other Oral & Maxillofacial Surgery Providers in LAS VEGAS, NV

Name Credential NPI
DR. GARY JAMES GERACCI DDS 1912996737
DR. MONT MERRILL RINGER DDS MS 1083692487
DR. ROBERT M SVARNEY JR. D.D.S. 1669444097
DR. KEVIN MATHEW MARTIN DDS 1952376295
DR. JOHN JOSEPH DUDEK D.D.S., M.D. 1144267782
DR. JEFF E MOXLEY DDS 1124040969
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.