Individual
DR. LEWIS R WAYT
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.D.S.
Contact information
Practice address
7710 SIGHTSEEING RD, BLDG 2826, FORT BENNING, GA 31905-3764
(706) 544-3103
Mailing address
7710 SIGHTSEEING RD, BLDG 2826, FORT BENNING, GA 31905-3764
(706) 544-3103
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
5617
OK
1223G0001X
General Practice Dentistry
Primary
5617
OK
Other
Enumeration date
09/20/2006
Last updated
03/31/2017
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