Vicki J Wyan is a Dentist in Fort Wainwright, Alaska. Vicki J Wyan practices all healthcare services and medical treatments related to Dentist. The NPI Number for Vicki J Wyan is 1124086061. The last update date is 2011-09-22.
Vicki J Wyan's current location address is 1060 Gaffney Road 7500, Fort Wainwright, Alaska. You can contact this provider via phone number 9073615530 and fax number 9073614859. The mailing address for Vicki J Wyan is 1060 Gaffney Road 7500, Fort Wainwright, Alaska. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Vicki J Wyan |
|---|---|
| Address | 1060 Gaffney Road 7500, Fort Wainwright, Alaska |
| Phone Number | 9073615530 |
| Fax Number | 9073614859 |
| Sole Proprietor | N |
| Credentials | DMD |
NPI Number Detail
| NPI Number | 1124086061 |
|---|---|
| Provider Enumeration Date | 2006-05-02 |
| Last Updated Date | 2011-09-22 |
Provider Mailing Address Detail
| Address | 1060 Gaffney Road 7500 |
|---|---|
| City | Fort Wainwright |
| State | Alaska (AK) |
| Post Code | 997037500 |
| Phone Number | 9073615530 |
| Fax Number | 9073614859 |
Provider's Primary Taxonomy Detail
| Speciality | Dentist |
|---|---|
| Taxonomy | 122300000X |
| Licence No | DI 014669 |
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Definition: A dentist is a person qualified by a doctorate in dental surgery (D.D.S.) or dental medicine (D.M.D.), licensed by the state to practice dentistry, and practicing within the scope of that license. There is no difference between the two degrees: denti |
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What is the unique 10-digit identifier code assigned to Vicki J Wyan by the Centers for Medicare & Medicaid Services?
The Vicki J Wyan has been issued the NPI (National Provider Identifier) 1124086061 by the CMS (Centers for Medicare & Medicaid Services), which serves as a unique identification number for healthcare providers.
Could you please share the complete physical address where Vicki J Wyan is geographically located?
The Vicki J Wyan is physically situated at the following location: 1060 Gaffney Road 7500, Fort Wainwright, AK, 997037500.
What is Vicki J Wyan's specialized field of practice, and what is the corresponding taxonomy classification code?
The Vicki J Wyan's area of specialization is Dentist, and the corresponding taxonomy code that categorizes this field of practice is 122300000X.
On what date did the Vicki J Wyan receive the assignment of its 1124086061 from the Centers for Medicare & Medicaid Services?
The Vicki J Wyan was issued its 1124086061 by the Centers for Medicare & Medicaid Services on 2006-05-02.
When was the information regarding Vicki J Wyan, such as address, specialty, and other details, most recently verified or confirmed to be accurate?
The information pertaining to Vicki J Wyan, including its address, specialty, and other relevant details, was most recently verified or confirmed to be accurate on 2011-09-22.