MEDICARE: WAYNE R. WITT 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
1	1223S0112X	Oral and Maxillofacial Surgery (Dentist)	DS1794	TN

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1295732402
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	WAYNE R. WITT DDS

Provider Business Mailing Address
First Line	:	1505 E LAMAR ALEXANDER PKWY
Second Line	:
City	:	MARYVILLE
State	:	TN
Zip	:	37804-5131
Country	:	US
Telephone Number	:	865-983-8630
Fax Number	:	865-983-3616

Provider Business Practice Location Address
First Line	:	1505 E LAMAR ALEXANDER PKWY
Second Line	:
City	:	MARYVILLE
State	:	TN
Zip	:	37804-5131
Country	:	US
Telephone Number	:	865-983-8630
Fax Number	:	865-983-3616

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	07/01/2005
Last Update Date	:	07/08/2007

Similar Medicare Providers

1639176399 — JAMES HOWARD MANN JR. DDS
Practice Location Address:

1505 E LAMAR ALEXANDER PKWY
MARYVILLE, TN
37804-5131

Practice Phone: 865-983-8630
Practice Fax: 865-983-3616

1285631135 — MARK M. WIDLOSKI DDS
Practice Location Address:

1505 E LAMAR ALEXANDER PKWY
MARYVILLE, TN
37804-5131

Practice Phone: 865-983-8630
Practice Fax: 865-983-3616

1558359695 — CHARLES HARTWELL SHANKS D.D.S.
Practice Location Address:

1511 E LAMAR ALEXANDER PKWY
MARYVILLE, TN
37804-5131

Practice Phone: 865-977-8048
Practice Fax: 865-977-0318

1033172481 — GARY MERLIN MASON M.D.
Practice Location Address:

1503 E LAMAR ALEXANDER PKWY
MARYVILLE, TN
37804-5131

Practice Phone: 865-980-5290
Practice Fax: 865-980-5295

1508822495 — DR. KEVIN L TURNER M.D.
Practice Location Address:

1503 E LAMAR ALEXANDER PKWY
MARYVILLE, TN
37804-5131

Practice Phone: 865-980-5290
Practice Fax: 865-980-5295

1982644506 — MRS. JACLYN ELIZABETH HONE MD
Practice Location Address:

1503 E LAMAR ALEXANDER PKWY
MARYVILLE, TN
37804-5131

Practice Phone: 865-982-0835
Practice Fax: 865-982-1109

Directions to “ WAYNE R. WITT DDS” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2026 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.