Wayne Paul Jackman, DDS

General Practice Dentistry · Ravena, OH

Individual Active NPI

NPI number 1003071697

Practice location

444 S Meridian St
Ravena, OH 44233
Phone
(330) 297-6216

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NPI record

NPI
1003071697
Entity type
Individual (Type 1)
Enumeration date
July 23, 2008
Last updated
July 23, 2008
Sole proprietor
Yes

Specialties & taxonomy codes

TaxonomyCodeLicenseState
General Practice Dentistry Primary 1223G0001X 019126 OH

Mailing address

444 S Meridian St
Ravenna, OH 44266
Phone
(330) 297-6216
Fax
(330) 297-5803

About Dr. Jackman

Wayne Paul Jackman, DDS is a healthcare provider registered in the NPI registry with the primary taxonomy General Practice Dentistry (code 1223G0001X). The practice location is 444 S Meridian St, Ravena, OH 44233. The NPI number 1003071697 was assigned on July 23, 2008 and the record was last updated on July 23, 2008.

Dr. Jackman lists a license in the registry: #019126 (OH) for General Practice Dentistry. License numbers are self-reported to NPPES; verify them with the state licensing board.

Frequently asked questions

What is the NPI number of Wayne Paul Jackman, DDS?

The NPI number is 1003071697.

What is the phone number of Dr. Jackman?

The phone number listed for the practice location is (330) 297-6216.

Where is Dr. Jackman located?

444 S Meridian St, Ravena, OH 44233.

What is the taxonomy code for Dr. Jackman?

The primary taxonomy code is 1223G0001X – General Practice Dentistry.

Is this information correct?

All details come from the public NPPES registry. Providers can update their record at nppes.cms.hhs.gov; changes appear here after the next weekly update.