WAYNE C JARVIS (NPI# 1316152879) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1316152879 |
| Entity Type | Individual |
| Full Name | WAYNE C JARVIS |
| Credential | D.D.S. |
| Practice Address |
2005 Lyell Ave Suite 210 Rochester NY 14606-2323 |
| Practice Telephone | 5852545360 |
| Practice Fax Number | 5852548200 |
| Mailing Telephone | 5852545360 |
| Mailing Fax Number | 5852548200 |
| Enumeration Date | 2007-05-10 |
| Last Update Date | 2014-11-21 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 1223S0112X |
Dentist Specialization: Oral and Maxillofacial Surgery |
035902 | NY | Dental Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1104903004 | Wayne Howard Jarvis | Surgery | 400 E 3rd St, Duluth, MN 55805-1951 | 2006-11-01 |
| Street Address |
2005 LYELL AVE SUITE 210 |
| City | ROCHESTER |
| State | NY |
| Zip Code | 14606-2323 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1568430569 | Andrew George Vorrasi | Dentist | 2005 Lyell Ave, Rochester, NY 14606-2323 | 2006-03-08 |
| 1043668510 | Align Chiropractic- Sport Spine Wellness | Chiropractor | 2005 Lyell Ave, Suite 115, Rochester, NY 14606-2323 | 2016-05-25 |
| 1144600487 | Align Chiropractic | Chiropractor | 2005 Lyell Ave, Suite 115, Rochester, NY 14606-2323 | 2015-06-02 |
| 1891194593 | Allison Meaghan Fleming | Chiropractor | 2005 Lyell Ave, Suite 115, Rochester, NY 14606-2323 | 2014-08-19 |
| 1194987008 | Stonegate Oral Surgery, LLP | Dentist | 2005 Lyell Ave, Suite 210, Rochester, NY 14606-2323 | 2008-07-01 |
| 1518172063 | Alan S Cassara | Dentist | 2005 Lyell Ave, Suite 210, Rochester, NY 14606-2323 | 2007-05-10 |
| 1891820833 | Steven Michael Spoto | Dentist | 2005 Lyell Ave, Rochester, NY 14606-2323 | 2007-02-22 |
| 1861553778 | Louis J. Cianciola | Dentist | 2005 Lyell Ave, Rochester, NY 14606-2323 | 2006-12-13 |
| 1225101272 | David A Olivo | Dentist | 2005 Lyell Ave, Suite 200, Rochester, NY 14606 | 2006-11-16 |
| 1396815650 | Julie Ann Beach | Dentist | 2005 Lyell Ave, Rochester, NY 14606-2323 | 2006-11-08 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1063047686 | Katherine Anne Blakely | Social Worker | 100 Pinewild Drive, Second Floor Suite A, Rochester, NY 14606 | 2020-03-04 |
| 1023501855 | Diana Moskalyuk | Registered Nurse | 57 Gates Manor Dr, Rochester, NY 14606 | 2018-06-06 |
| 1245732221 | Daphne Bell | Driver | 79 Curlew St., Rochester, NY 14606 | 2018-03-06 |
| 1275031171 | Meghan Elizabeth Wallace | Social Worker | 1305 Lyell Avenue, Rochester, NY 14606 | 2018-01-25 |
| 1114277860 | Debra A Bucklaew | Registered Nurse | 57 Baier Dr, Rochester, NY 14606 | 2012-09-10 |
| 1427327998 | Charita Y Murray | Licensed Practical Nurse | 48 Rogers Ave., Rochester, NY 14606 | 2011-12-29 |
| 1649556804 | Jamila Kali Miller | Family Medicine | 110 Canton St, Rochester, NY 14606 | 2011-11-01 |
| 1720375447 | Jasmine Marie Radcliff | Licensed Practical Nurse | 34 Ardella St, Rochester, NY 14606 | 2011-07-01 |
| 1104110766 | Ashly Jasmine Goodwill | Licensed Practical Nurse | 16 Glasser St, Rochester, NY 14606 | 2011-06-01 |
| 1497067359 | Shahada D Ware | Licensed Practical Nurse | 222 Mcnaughton St., Rochester, NY 14606 | 2010-07-08 |
| Find all providers in zip 14606 | ||||
| Taxonomy Code | 1223S0112X |
| Grouping | Dental Providers |
| Classification | Dentist |
| Specialization | Oral and Maxillofacial Surgery |
| The specialty of dentistry which includes the diagnosis, surgical and adjunctive treatment of diseases, injuries and defects involving both the functional and esthetic aspects of the hard and soft tissues of the oral and maxillofacial region. |
| Notes: Source: Council on Dental Education and Licensure, American Dental Association |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1477991677 | Pooja Gangwani | Dentist | 2400 S Clinton Ave Ste 125, Rochester, NY 14618-2668 | 2013-06-10 |
| 1003137381 | Marc G. Johnson | Dentist | 150 Lynnwood Dr, Rochester, NY 14618-2826 | 2010-06-21 |
| 1427217199 | John S. Vorrasi | Dentist | 2400 S Clinton Ave Bldg H Suite 125, Rochester, NY 14618 | 2008-06-06 |
| 1992842793 | Antonia Kolokythas | Dentist | 601 Elmwood Ave Box 705, Rochester, NY 14642-0001 | 2007-01-31 |
| 1619022449 | Jolly M Caplash | Dentist | 10 Hagen Dr Ste 230, Rochester, NY 14625-2659 | 2007-01-24 |
| 1649215328 | Joel C Michelson | Dentist | 3632 10th Ln Nw, Rochester, MN 55901-6917 | 2006-06-18 |
| 1083681928 | Nicholas H. Psimos | Dentist | 1101 N Broadway, Rochester, MN 55906-6841 | 2006-02-28 |
| 1962482562 | Michael Kim Ban | Dentist | 450 Adams St, Rochester, PA 15074-1911 | 2006-01-19 |
| 1992794218 | Lee Cain Chewning | Dentist | 191 S Park St, Rochester, PA 15074-2217 | 2005-10-19 |
| 1033731815 | Shayla Camille Steeds | Dentist | 200 1st St Sw, Rochester, MN 55905-0001 | 2020-05-14 |
| Find all providers in ROCHESTER | ||||
Please comment or provide details below to improve the information on WAYNE C JARVIS.
| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.