Dr Wayne Wilkinson Cottam, DMD - Dentist in Phoenix, AZ

Dr Wayne Wilkinson Cottam, DMD is a Dentist - Dental Public Health based in Phoenix, Arizona. Dr Wayne Wilkinson Cottam is licensed to practice in Utah (license number 272632-9922) and his current practice location is 4212 N 16th St, Phoenix, Arizona. He can be reached at his office (for appointments etc.) via phone at (602) 263-1511.

NPI number for Dr Wayne Wilkinson Cottam is 1003988064 and his current mailing address is 10465 E Plata Ave, Mesa, Arizona. He does not participate in medicare program and thus does not accept medicare assignments. His NPI Number is 1003988064.

Contact Information

Dr Wayne Wilkinson Cottam, DMD
4212 N 16th St,
Phoenix, AZ 85016-5319
(602) 263-1511
(602) 263-1637



Healthcare Provider's Profile

Full NameDr Wayne Wilkinson Cottam
GenderMale
SpecialityDentist - Dental Public Health
Location4212 N 16th St, Phoenix, Arizona
Accepts Medicare AssignmentsDoes not participate in Medicare Program. He may not accept medicare assignment.
  NPI Data:
  • NPI Number: 1003988064
  • Provider Enumeration Date: 11/14/2006
  • Last Update Date: 10/08/2012

Medical Identifiers

Medical identifiers for Dr Wayne Wilkinson Cottam such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1003988064NPI-NPPES
857740MedicaidAZ
0410520OtherAZBCBS

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
1223G0001XDentist - General Practice D7446 (Oregon)Secondary
1223G0001XDentist - General Practice D3102 (Idaho)Secondary
1223D0001XDentist - Dental Public Health 272632-9922 (Utah)Primary

Medicare Part D Prescriber Enrollment

Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Dr Wayne Wilkinson Cottam is NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.

Mailing Address and Practice Location

Mailing AddressPractice Location Address
Dr Wayne Wilkinson Cottam, DMD
10465 E Plata Ave,
Mesa, AZ 85212-1840

Ph: (480) 984-4002
Dr Wayne Wilkinson Cottam, DMD
4212 N 16th St,
Phoenix, AZ 85016-5319

Ph: (602) 263-1511

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