| David D. Wyse, D.d.s., P.c. | |
|
207 S Prospect Rd Ste. 2 Bloomington IL 61704-4905 | |
| (309) 663-6393 | |
| (309) 664-0366 |
| Full Name | David D. Wyse, D.d.s., P.c. |
|---|---|
| Speciality | Clinic/center - Dental |
| Location | 207 S Prospect Rd, Bloomington, Illinois |
| Authorized Official Name and Position | David D. Wyse (OWNER) |
| Authorized Official Contact | 3096636393 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| David D. Wyse, D.d.s., P.c. 207 S Prospect Rd Ste. 2 Bloomington IL 61704-4905 Ph: (309) 663-6393 | David D. Wyse, D.d.s., P.c. 207 S Prospect Rd Ste. 2 Bloomington IL 61704-4905 Ph: (309) 663-6393 |
| NPI Number | 1124143896 |
|---|---|
| Provider Enumeration Date | 03/20/2007 |
| Last Update Date | 10/03/2013 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1124143896 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QD0000X | Clinic/center - Dental | 060001892 (Illinois) | Primary |
Koala Center For Sleep Disorders Dental Clinic Medicare: Medicare Enrolled Practice Location: 2309 E Empire St, Ste. 500, Bloomington, IL 61704 Phone: 309-319-6568 Fax: 309-664-0352 | |
Morgan-michaels Family Dentistry, Llc Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 2100 E Washington St, Bloomington, IL 61701 Phone: 309-663-4114 Fax: 309-663-1275 | |
Smalltown Dental Bloomington On Maloney Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 2433 Maloney Dr, Bloomington, IL 61704 Phone: 309-662-9042 | |
Access Dental Of Bloomington Pllc Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 401 N Veterans Pkwy Ste 4, Bloomington, IL 61704 Phone: 469-444-2818 | |
Robert D. Horenkamp, D.d.s. P.c. Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 405 S Prospect Rd, Bloomington, IL 61704 Phone: 309-662-2833 Fax: 309-662-7862 | |
Redbird Dental Care Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 3609 General Electric Rd Ste A, Bloomington, IL 61704 Phone: 309-664-6868 Fax: 309-664-6370 |