Individual provider · Type 1 NPI
John Phillip Waschak, DDS
Pediatric Dentistry · Grants Pass, OR
NPI number
1265632715
Active
Practice location
560 NE E St
Grants Pass, OR 97526-2326
Fax (541) 470-0751
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Orthodontics and Dentofacial Orthopedics Dentistry | 1223X0400X | D9097 (OR) |
| Pediatric Dentistry | 1223P0221X | 55033 (CA) |
| Orthodontics and Dentofacial Orthopedics Dentistry | 1223X0400X | 55033 (CA) |
| Pediatric Dentistry Primary | 1223P0221X | D9097 (OR) |
Pediatric Dentistry: An age-defined specialty that provides both primary and comprehensive preventive and therapeutic oral health care for infants and children through adolescence, including those with special health care needs.
Other pediatric dentistry providers in Grants Pass
About NPI 1265632715
John Phillip Waschak, DDS's National Provider Identifier is 1265632715, issued on Jul 23, 2007. The primary taxonomy on file is Pediatric Dentistry (1223P0221X), and the practice location is in Grants Pass, OR. The record was last updated on Dec 15, 2009.