Provider Demographics
NPI:1568027209
Name:WAY, AUSTIN F (DMD)
Entity type:Individual
Prefix:
First Name:AUSTIN
Middle Name:F
Last Name:WAY
Suffix:
Gender:M
Credentials:DMD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2300 CONNER RD
Mailing Address - Street 2:
Mailing Address - City:HEBRON
Mailing Address - State:KY
Mailing Address - Zip Code:41048-8165
Mailing Address - Country:US
Mailing Address - Phone:859-586-4825
Mailing Address - Fax:859-586-4817
Practice Address - Street 1:2300 CONNER RD
Practice Address - Street 2:
Practice Address - City:HEBRON
Practice Address - State:KY
Practice Address - Zip Code:41048-8165
Practice Address - Country:US
Practice Address - Phone:859-586-4825
Practice Address - Fax:859-586-4817
Is Sole Proprietor?:No
Enumeration Date:2019-05-08
Last Update Date:2025-07-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
KY102581223S0112X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223S0112XDental ProvidersDentistOral and Maxillofacial Surgery