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WAYNE KODAMA DDS
NPI 1861873465
Dentist in Fresno, CA

Active since June 09, 2015
1275 W SHAW AVE STE 101, FRESNO, CA 93711(559) 229-3201 Get Directions Write a Review

NPPES record last updated: June 9, 2015. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Wayne Kodama Dds NPPES

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

WAYNE KODAMA DDS (NPI 1861873465) is a healthcare organization registered as a dentist in Fresno, California and active in the NPI registry since June 2015. The organization lists Susan Kodama, Manager, as its authorized official.

NPPES Registry Identity

NPI1861873465
Entity TypeOrganization
Primary Taxonomy122300000X
Legal Business NameWAYNE KODAMA DDS
Location Address1275 W SHAW AVE STE 101Fresno, CA 93711-3710
Mailing Address1275 W Shaw Ave Ste 101Fresno, CA 93711-3710 · (559) 229-3201
Phone(559) 229-3201
Organization SubpartNo
Authorized OfficialSusan KodamaManager · (559) 229-3201
Enumeration DateJune 9, 2015
✔ NPI 1861873465 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDentistDental Providers
Taxonomy Code122300000X
License✔ Licensed in CA · 38861
Definition
A dentist is a person qualified by a doctorate in dental surgery (D.D.S.) or dental medicine (D.M.D.), licensed by the state to practice dentistry, and practicing within the scope of that license. There is no difference between the two degrees: dentists who have a DMD or DDS have the same education. Universities have the prerogative to determine what degree is awarded. Both degrees use the same curriculum requirements set by the American Dental Association's Commission on Dental Accreditation. Generally, three or more years of undergraduate education plus four years of dental school is required to graduate and become a general dentist. State licensing boards accept either degree as equivalent, and both degrees allow licensed individuals to practice the same scope of general dentistry. Additional post-graduate training is required to become a dental specialist.
1275 W SHAW AVE STE 101, Fresno, CA 93711
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Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

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 Wayne Kodama Dds's NPI number?

The NPI number for Wayne Kodama Dds is 1861873465. It was assigned to this organization in the NPPES registry on June 9, 2015.

Where is Wayne Kodama Dds located?

Wayne Kodama Dds is located at 1275 W Shaw Ave Ste 101, Fresno, CA 93711. The listed phone number is (559) 229-3201.

What is Wayne Kodama Dds's specialty?

The primary specialty registered for this NPI is Dentist with taxonomy code 122300000X.

When was this NPI record last updated?

The NPPES record for Wayne Kodama Dds was last updated on June 9, 2015. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 11 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.