P Praxis·MD
● Active Type 1 · Individual

DR. Richard Wayne Waddell, D.D.S

Dentist·Warner Robins, GA· NPI 1063790194 · Enumerated 2011 · 14 years on NPI
Waddell is 1 of 28 dentist providers in Warner Robins and 1 of 2660 in Georgia.
NPI age
14 years
Enumerated 2011-07-22
Primary specialty
Dentist
Plus 1 subspecialty
Licensed in
CA
1 state
Status
Active
No deactivations on record
Last NPPES update
2016-09-21
Source: monthly bulk 2026-05
Sole proprietor
No
May be part of a larger org

How this provider compares

Across 2660 active dentist providers in Georgia.

NPI age
14 years
≈ at median (14 yr)
State licenses
1 state
9% of peers hold multiple states
Subspecialties
1
In the 16% of peers with subspecialties

NPI lifetime · 2011 → 2026

2011-07Enumerated in NPPES
2011 2026

Where they practice

Practice location
655 7th St Bldg 700700-A, Sghc Credentials
Warner Robins, GA 310982227
📞 4783278095
Mailing address
704 Arbor Ln
Centerville, GA 310288614
📞 4043162145

Specialties

  • Dentist Primary
    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...
    CA license #60426 taxonomy 122300000X
  • Student in an Organized Health Care Education/Training Program
    An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.
    CA license #60426 taxonomy 390200000X

Practice context

Part of a multi-provider practice. 3 other active providers share this practice address in NPPES.

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How to verify this provider

  1. Confirm the NPI on NPPES.The CMS registry is the system of record. Open NPPES →
  2. Check the state license is currently active.State licensing boards publish current status; NPPES does not.
  3. Confirm payer enrollment if billing.NPI presence does not guarantee active enrollment with Medicare, Medicaid, or commercial payers.

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