Healthcare Provider Details

I. General information

NPI: 1467254557
Provider Name (Legal Business Name): PAYTON LIKA WHYNE DMD
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 03/27/2025
Last Update Date: 06/23/2026
Certification Date: 06/23/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

720 JOHNSVILLE BLVD STE 1210
WARMINSTER PA
18974-3547
US

IV. Provider business mailing address

720 JOHNSVILLE BLVD STE 1210
WARMINSTER PA
18974-3547
US

V. Phone/Fax

Practice location:
  • Phone: 267-961-5884
  • Fax:
Mailing address:
  • Phone: 267-961-5884
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code1223G0001X
TaxonomyGeneral Practice Dentistry
License NumberDS045169
License Number StatePA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: