IndividualActive
Wayne Cottam, DMD
NPI 1003988064 · Public Health Dentistry · Phoenix, AZ
Provider details
- NPI number
- 1003988064
- Entity type
- Individual
- Primary specialty
- Public Health DentistryDental Providers
- Credential
- DMD
- Sex
- Male
- Sole proprietor
- No
- License
- D7446 (OR)
Practice location
4212 N 16th St
Phoenix, AZ 85016-5319
Phone: (602) 263-1511
Fax: (602) 263-1637
Mailing address
10465 E Plata Ave
Mesa, AZ 85212-1840
Registry dates
- Enumerated
- 2006-11-14
- Last updated
- 2012-10-08
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.