IndividualActive
Jeremy Wano, D.M.D
NPI 1396167862 · General Practice Dentistry · Mystic, CT
Jeremy Wano, D.M.D is a General Practice Dentistry provider in Mystic, CT (NPI 1396167862).
Provider details
- NPI number
- 1396167862
- Entity type
- Individual
- Primary specialty
- General Practice DentistryDental Providers
- Credential
- D.M.D
- Sex
- Male
- Sole proprietor
- No
- License
- 8774121-9921 (UT)
Specialties & taxonomies
Dental Providers
Profile Score
Detailed profile(76/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
12 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
75 Steamboat Wharf
Apt 35
Mystic, CT 06355-2546
Phone: (724) 787-1661
Street-level locationGet directions
Mailing address
1 Wahoo Drive
Groton, CT 06349
Registry dates
- Enumerated
- 2014-01-17
- Last updated
- 2014-01-17
Frequently asked questions
- What is Jeremy Wano's NPI number?
- Jeremy Wano's National Provider Identifier (NPI) is 1396167862, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What is Jeremy Wano's specialty?
- Jeremy Wano is listed in the NPPES registry with a primary specialty of General Practice Dentistry (Dental Providers).
- Where is Jeremy Wano located?
- Jeremy Wano's practice location on file with NPPES is 75 Steamboat Wharf, Mystic, CT 06355-2546.
- What is Jeremy Wano's phone number?
- The practice phone number listed in the NPPES registry for Jeremy Wano is (724) 787-1661.
- Is Jeremy Wano's NPI active?
- Yes — Jeremy Wano's NPI (1396167862) is active in the NPPES registry as of the last update on 2014-01-17.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.