# DOCTORS GARRARD AND WAYMENT DENTISTS PLLC

> Is this information incorrect? This page shows public data from NPPES. Update your record in NPPES and this page will update automatically within 7 days. [Update your NPPES record](https://nppes.cms.hhs.gov)

- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1497974141
- **Authorized official:** DR. JOHN R GARRARD D.D.S. (PARTNER)
- **Authorized official phone:** (208) 436-6406

## Contact information

- **Practice address:** 301 SCOTT AVE, STE \#3, RUPERT, ID 83350-1800
- **Practice address phone:** (208) 436-6406
- **Practice address fax:** (208) 436-9678
- **Mailing address:** PO BOX 338, RUPERT, ID 83350-0338
- **Mailing address phone:** (208) 436-6406
- **Mailing address fax:** (208) 436-9678

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 1223G0001X | General Practice Dentistry | D3400 | ID | Yes |
| 1223G0001X | General Practice Dentistry | D3965 | ID | — |

## Other

- **Enumeration date:** 04/24/2007
- **Last updated:** 03/08/2016