NPI age
19 years
Enumerated 2007-05-18
● Active
Type 1 · Individual
Wayne Julian Spector, D.M.D.
Spector is 1 of 11 dentist providers in Ketchum and 1 of 1099 in Idaho.
Primary specialty
Dentist
Licensed in
ID
1 state
Status
Active
No deactivations on record
Last NPPES update
2007-07-08
Source: monthly bulk 2026-05
Sole proprietor
Yes
Solo practice on file
How this provider compares
Across 1099 active dentist providers in Idaho.
NPI age
19 years
≈ at median (18 yr)
State licenses
1 state
7% of peers hold multiple states
Subspecialties
0
12% of peers hold subspecialties
NPI lifetime · 2007 → 2026
2007-05Enumerated in NPPES
2007
2026
Where they practice
Practice location
680 2nd Ave. North
Ketchum, ID 83340
Mailing address
Po Box 4591
Ketchum, ID 833404591
Specialties
-
Dentist PrimaryA 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.
Identifiers
| Type | Value | Notes |
|---|---|---|
| 01 (ID) | CS4867 | ID STATE BOARD OF PHARMAC |
| 01 (ID) | D-1762 | ID STATE BOARD OF DENTIST |
Practice context
Solo or small practice. No other active providers share this practice address in NPPES. This provider is listed as a sole proprietor.
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- Confirm the NPI on NPPES.The CMS registry is the system of record. Open NPPES →
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