Eric Wayne Wyatt is a Dentist in Broken Arrow, Oklahoma. Eric Wayne Wyatt practices all healthcare services and medical treatments related to Dentist. The NPI Number for Eric Wayne Wyatt is 1326153644. The last update date is 2007-07-08.
Eric Wayne Wyatt's current location address is Po Box 3040, Broken Arrow, Oklahoma. You can contact this provider via phone number 9186641888 and fax number 9186649037. The mailing address for Eric Wayne Wyatt is Po Box 3040, Broken Arrow, Oklahoma. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Eric Wayne Wyatt |
|---|---|
| Address | Po Box 3040, Broken Arrow, Oklahoma |
| Phone Number | 9186641888 |
| Fax Number | 9186649037 |
| Sole Proprietor | N |
| Credentials | DDS |
NPI Number Detail
| NPI Number | 1326153644 |
|---|---|
| Provider Enumeration Date | 2006-08-19 |
| Last Updated Date | 2007-07-08 |
Provider Mailing Address Detail
| Address | Po Box 3040 |
|---|---|
| City | Broken Arrow |
| State | Oklahoma (OK) |
| Post Code | 74013 |
| Phone Number | 9186641888 |
| Fax Number | 9186649037 |
Provider's Primary Taxonomy Detail
| Speciality | Dentist |
|---|---|
| Taxonomy | 122300000X |
| Licence No | 5301 |
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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 identification code assigned to Eric Wayne Wyatt by the Centers for Medicare & Medicaid Services?
The Eric Wayne Wyatt has been issued the NPI (National Provider Identifier) 1326153644. This 10-digit code serves as a unique identifier for healthcare providers, assigned by the Centers for Medicare & Medicaid Services (CMS).
Could you please provide the complete physical location address of Eric Wayne Wyatt?
The Eric Wayne Wyatt is physically situated at Po Box 3040, in the city of Broken Arrow, state of OK, with the postal code 74013.
What is Eric Wayne Wyatt's specialized field of practice, and what is the corresponding taxonomy classification code?
The Eric Wayne Wyatt's area of specialization is Dentist, and the corresponding taxonomy code that categorizes this field of practice is 122300000X.
On what date did the Centers for Medicare & Medicaid Services originally issue the 1326153644 to Eric Wayne Wyatt?
The Centers for Medicare & Medicaid Services originally issued the 1326153644 to Eric Wayne Wyatt on 2006-08-19.
As of what date were the details pertaining to Eric Wayne Wyatt last refreshed?
The information related to the Eric Wayne Wyatt, including its address, specialty, and other relevant details, was last updated on 2007-07-08.