NPI 1003071697
Wayne Paul Jackman, DDS
Practice location
- Address
- 444 S Meridian St, Ravena, OH 44233
- Phone
- (330) 297-6216
- Mailing address
- 444 S Meridian St, Ravenna, OH 44266
Registered specialties
General Practice Dentistry
Primary
Registry record
- NPI
- 1003071697
- Entity type
- Individual
- Sex (as registered)
- Male
- NPI issued
- 23 Jul 2008
- Record last updated
- 23 Jul 2008
Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.