IndividualActive
Gary Mayne, DDS, MS
NPI 1417017120 · Orthodontics and Dentofacial Orthopedics Dentistry · Wpafb, OH
Provider details
- NPI number
- 1417017120
- Entity type
- Individual
- Primary specialty
- Orthodontics and Dentofacial Orthopedics DentistryDental Providers
- Credential
- DDS, MS
- Sex
- Male
- Sole proprietor
- No
- License
- DE9885 (WA)
Specialties & taxonomies
Dental Providers
Dental Providers
Practice location
4881 Sugar Maple Dr
Wpafb, OH 45433-5529
Phone: (937) 257-8761
Approximate (ZIP-level) locationGet directions
Mailing address
4881 Sugar Maple Dr
Wpafb, OH 45433-5529
Registry dates
- Enumerated
- 2006-12-11
- Last updated
- 2024-06-05
- Certified
- 2024-06-05
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.