| Wayne N. Wyatt, Dds, Ms, Pc | |
|
9840 E 81st St Ste 100 Tulsa OK 74133-4583 | |
| (918) 496-1555 | |
| (918) 496-1167 |
| Full Name | Wayne N. Wyatt, Dds, Ms, Pc |
|---|---|
| Speciality | Dentist - Orthodontics And Dentofacial Orthopedics |
| Location | 9840 E 81st St Ste 100, Tulsa, Oklahoma |
| Authorized Official Name and Position | Wayne Nolan Wyatt (ORTHODONTIST) |
| Authorized Official Contact | 9184961155 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Wayne N. Wyatt, Dds, Ms, Pc 9840 E 81st St Ste 100 Tulsa OK 74133-4583 Ph: (918) 496-1555 | Wayne N. Wyatt, Dds, Ms, Pc 9840 E 81st St Ste 100 Tulsa OK 74133-4583 Ph: (918) 496-1555 |
| NPI Number | 1699025122 |
|---|---|
| Provider Enumeration Date | 09/12/2012 |
| Last Update Date | 08/05/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1699025122 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223X0400X | Dentist - Orthodontics And Dentofacial Orthopedics | 5561 (Oklahoma) | Primary |
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