SearchNevadaOral and Maxillofacial Surgery (Dentist)

Wayne Ichikawa, D.D.S., M.S

NPI 1477604627 · on the registry since 2007 · sole proprietor

Practice

Address
1001 Shadow Ln # Ms 7413
Las Vegas, NV 89106
Phone
(702) 774-2457
Fax
(702) 774-2610

Additional practice sites

  • 1580 Winchester Blvd, Campbell, CA

Registry record

Primary taxonomy
Oral and Maxillofacial Surgery (Dentist)
1223S0112X
Also registered as
Oral and Maxillofacial Surgery (Dentist)
Licence states on file
CA, NV
From the registry's licence fields, which are often incomplete.
Sex
Male
Record last updated
2019-03-08

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Nevada