Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Dr. Wayne Ichikawa, DDS, MS

Individual provider Oral and Maxillofacial Surgery (Dentist) · NPI 1477604627

Dr. Wayne Ichikawa, DDS, MS is an Oral and Maxillofacial Surgery (Dentist) in Las Vegas, Nevada. Practices as a sole proprietor and works from 2 locations. Licensed in California and Nevada.

Licensed in
CA, NV
In the registry since
2007
Specialties on file
2
What do these letters mean?
DDS — Doctor of Dental Surgery
A dentist. DDS and DMD are the same qualification — universities choose which title to award.
MS — Master of Science
A graduate science degree.

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Practice location Address checks out

1001 Shadow Ln # MS 7413
Las Vegas, NV 89106-4124
Phone: (702) 774-2457
Fax: (702) 774-2610
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 1580 Winchester Blvd, Campbell, CA 95008-0519 — (408) 379-5360

Specialties & licences

Oral and Maxillofacial Surgery (Dentist) (primary) Taxonomy 1223S0112X · Licence S2-147C (NV)
Oral and Maxillofacial Surgery (Dentist) Taxonomy 1223S0112X · Licence 29954 (CA)

Record details

NPI number1477604627
Entity typeIndividual (Type 1)
GenderMale
Credentials DDS , MS
Sole proprietorYes
NPI enumeratedJanuary 15, 2007
Last updated in NPPESMarch 8, 2019
Mailing address1001 Shadow Ln # Ms 7413, Las Vegas, NV 89106-4124

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