Individual
DR. WAYLAND A EASLEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
230 AIRPORT RD, WARWICK, RI 02889
(401) 732-4117
(401) 352-0807
Mailing address
230 AIRPORT RD, WARWICK, RI 02889
(401) 732-4117
(401) 352-0807
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
051644
NY
122300000X
Dentist
21302
MA
122300000X
Dentist
Primary
DEN02883
RI
1223S0112X
Oral and Maxillofacial Surgery (Dentist)
0223000 DORAL DENTAL
MA
1223S0112X
Oral and Maxillofacial Surgery (Dentist)
0223000 MASSHEALTH
MA
1223S0112X
Oral and Maxillofacial Surgery (Dentist)
AGHDREXEL OMS
PA
207L00000X
Anesthesiology Physician
2130220
MA
207L00000X
Anesthesiology Physician
DAPA02663
RI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0223000
DORAL : BMC HEALTH PLAN,NEIGHBORHOOD(MA),NETWORK HEALTH, SR. WHOLE HEALTH
MA
05
—
0223000
—
MA
05
—
WE57613
—
RI
Enumeration date
07/02/2007
Last updated
09/30/2024
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