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Contact Information

WAYNE P JACKMAN, DDS
444 S MERIDIAN ST
RAVENNA, OH44233
 Phone: 330-297-6216
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

General Practice

1223G0001X
Indicates primary specialty

NPI Profile & details for WAYNE P JACKMAN · (Male)

NPI Number 1003071697
Status Active
Credentials DDS (Doctor of Dental Surgery)
Entity Individual
Enumeration date 07/23/2008
Last updated 07/23/2008 - About 18 years ago
Sole proprietor 1 Yes
Identifiers
  • OH License # 019126
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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