Organization
WAYNE E. PICKETT DDS PLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. WAYNE E PICKETT DDS (OWNER)
(248) 682-2300
Entity
Organization
Contact information
Practice address
4930 ELIZABETH LAKE RD, WATERFORD, MI 48327-2738
(248) 682-2300
(248) 420-9313
Mailing address
4930 ELIZABETH LAKE RD, WATERFORD, MI 48327-2738
(248) 682-2300
(248) 420-9313
Taxonomy
Speciality
Code
Description
License number
State
261QD0000X
Dental Clinic/Center
Primary
—
—
Other
Enumeration date
08/05/2022
Last updated
08/05/2022
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