Provider Demographics
NPI:1023786589
Name:WAYSON, CLAIRE (DDS)
Entity type:Individual
Prefix:DR
First Name:CLAIRE
Middle Name:
Last Name:WAYSON
Suffix:
Gender:F
Credentials:DDS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2410 CHESTNUT TERRACE CT UNIT 203
Mailing Address - Street 2:
Mailing Address - City:ODENTON
Mailing Address - State:MD
Mailing Address - Zip Code:21113-0747
Mailing Address - Country:US
Mailing Address - Phone:443-624-1294
Mailing Address - Fax:
Practice Address - Street 1:2410 CHESTNUT TERRACE CT UNIT 203
Practice Address - Street 2:
Practice Address - City:ODENTON
Practice Address - State:MD
Practice Address - Zip Code:21113-0747
Practice Address - Country:US
Practice Address - Phone:443-624-1294
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2021-08-31
Last Update Date:2021-08-31
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MD17601122300000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes122300000XDental ProvidersDentist