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NPI Code Detail

MEDICARE: DILLON WASKO DDS

MEDICARE: DILLON WASKO DDS
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1122300000XDentist14308NC

General Provider Information

NPI Number : 1275215147
Entity Type Code : Individual
Provider Name (Legal Business Name) : DILLON WASKO DDS
Provider Business Mailing Address
First Line : 2817 ROCK MERRITT AVE
Second Line :
City : FORT BRAGG
State : NC
Zip : 28310-0001
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 2817 ROCK MERRITT AVE
Second Line :
City : FORT BRAGG
State : NC
Zip : 28310-0001
Country : US
Telephone Number : 910-907-8922
Fax Number : 910-907-6069
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 08/01/2023
Last Update Date : 06/09/2026

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Directions to “ DILLON WASKO DDS” Practice Location

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