Kenneth Dean Wylie in Mcminnville - Dentist

Kenneth Dean Wylie - NPI 1083777981

Kenneth Dean Wylie is a Dentist in Mcminnville, Oregon. Kenneth Dean Wylie practices all healthcare services and medical treatments related to Dentist. The NPI Number for Kenneth Dean Wylie is 1083777981. The last update date is 2015-04-11.

Kenneth Dean Wylie's current location address is 325 Ne 6th St, Mcminnville, Oregon. You can contact this provider via phone number 5034726182. The mailing address for Kenneth Dean Wylie is 325 Ne 6th St, Mcminnville, Oregon. To know further, please read the information below!

Provider Profile Detail

Provider Name Kenneth Dean Wylie
Address 325 Ne 6th St, Mcminnville, Oregon
Phone Number 5034726182
Fax Number
Sole Proprietor N
Credentials DMD

NPI Number Detail

NPI Number 1083777981
Provider Enumeration Date 2006-12-19
Last Updated Date 2015-04-11

Provider Mailing Address Detail

Address 325 Ne 6th St
City Mcminnville
State Oregon (OR)
Post Code 971284702
Phone Number 5034726182
Fax Number

Provider's Primary Taxonomy Detail

Speciality Dentist
Taxonomy 122300000X
Licence No D8596
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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FAQs about Kenneth Dean Wylie

What is the unique 10-digit identification code issued to Kenneth Dean Wylie by the Centers for Medicare & Medicaid Services?

The Kenneth Dean Wylie has been assigned the NPI (National Provider Identifier) 1083777981 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code serves as a unique identifier for healthcare providers.

Could you share the physical location details of Kenneth Dean Wylie?

The Kenneth Dean Wylie is situated at 325 Ne 6Th St, in the city of Mcminnville, state of OR, with the zip code 971284702.

What is Kenneth Dean Wylie's specialized field of practice, and what is the corresponding taxonomy code that categorizes this area of expertise?

The area of specialization for Kenneth Dean Wylie is Dentist, and the taxonomy code that classifies this field of practice is 122300000X.

On what date did the Kenneth Dean Wylie receive its 1083777981 assignment from the Centers for Medicare & Medicaid Services?

The Kenneth Dean Wylie was assigned its 1083777981 by the Centers for Medicare & Medicaid Services on 2006-12-19.

As of what date were the Kenneth Dean Wylie's details last updated?

The information pertaining to the Kenneth Dean Wylie, including its address, specialty, and other details, was most recently updated on 2015-04-11.

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