DR. JEREMY DAVID WANO D.M.D
NPI 1396167862
Dentist - General Practice in Mystic, CT

Q: What is Jeremy Wano's NPI number?

The NPI number for Jeremy Wano is 1396167862. It was assigned to this individual provider in the NPPES registry on January 17, 2014.

Q: What is Jeremy Wano's specialty?

The primary specialty registered for this NPI is Dentist, specializing in General Practice, with taxonomy code 1223G0001X.

Q: When was this NPI record last updated?

The NPPES record for Jeremy Wano was last updated on January 17, 2014. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 12 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.

Active since January 17, 2014

75 STEAMBOAT WHARF, APT 35, MYSTIC, CT 06355(724) 787-1661 Get Directions Write a Review

NPPES record last updated: January 17, 2014. Verified against the NPPES registry weekly; last sync: August 02, 2026.

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About Dr. Jeremy David Wano D.m.d NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

DR. JEREMY DAVID WANO D.M.D (NPI 1396167862) is an individual general practice provider in Mystic, Connecticut, licensed in Utah (8774121-9921) and active in the NPI registry since January 2014.

NPPES Registry Identity

NPI1396167862

Entity TypeIndividualMale

Primary Taxonomy1223G0001X

Provider Legal NameDR. JEREMY DAVID WANOCredential: D.M.D

Location Address75 STEAMBOAT WHARF, APT 35Mystic, CT 06355-2546

Mailing Address1 Wahoo Drive, Naval Branch Health ClinicGroton, CT 06349 · (860) 649-3129

Phone(724) 787-1661

Sole ProprietorNo

Enumeration DateJanuary 17, 2014

✔ NPI 1396167862 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDentist · General PracticeDental Providers

Taxonomy Code1223G0001X

License✔ Licensed in UT · 8774121-9921

Definition

A general dentist is the primary dental care provider for patients of all ages. The general dentist is responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs.

75 STEAMBOAT WHARF, Mystic, CT 06355

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Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Jeremy Wano's NPI number?

The NPI number for Jeremy Wano is 1396167862. It was assigned to this individual provider in the NPPES registry on January 17, 2014.

Where is Jeremy Wano located?

Jeremy Wano practices at 75 Steamboat Wharf Apt 35, Mystic, CT 06355. The listed phone number is (724) 787-1661.

What is Jeremy Wano's specialty?

The primary specialty registered for this NPI is Dentist, specializing in General Practice, with taxonomy code 1223G0001X.

When was this NPI record last updated?

The NPPES record for Jeremy Wano was last updated on January 17, 2014. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 12 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.