Alfred Dyonisius Wyatt in College Park - General Practice

Alfred Dyonisius Wyatt - NPI 1730196189

Alfred Dyonisius Wyatt is a General Practice in College Park, Georgia. Alfred Dyonisius Wyatt practices all healthcare services and medical treatments related to General Practice. The NPI Number for Alfred Dyonisius Wyatt is 1730196189. The last update date is 2007-07-08.

Alfred Dyonisius Wyatt's current location address is 6230 Old National Hwy, College Park, Georgia. You can contact this provider via phone number 7709947811 and fax number 7709947764. The mailing address for Alfred Dyonisius Wyatt is 6230 Old National Hwy, College Park, Georgia. To know further, please read the information below!

Provider Profile Detail

Provider Name Alfred Dyonisius Wyatt
Address 6230 Old National Hwy, College Park, Georgia
Phone Number 7709947811
Fax Number 7709947764
Sole Proprietor Y
Credentials DMD

NPI Number Detail

NPI Number 1730196189
Provider Enumeration Date 2006-08-01
Last Updated Date 2007-07-08

Provider Mailing Address Detail

Address 6230 Old National Hwy
City College Park
State Georgia (GA)
Post Code 303494330
Phone Number 7709947811
Fax Number 7709947764

Provider's Primary Taxonomy Detail

Speciality General Practice
Taxonomy 1223G0001X
Licence No 10071
Definition:
A general dentist is the primary dental care provider for patients of all ages. The general dentist is responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs.

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FAQs about Alfred Dyonisius Wyatt

What is the unique 10-digit identifier code issued to Alfred Dyonisius Wyatt by the Centers for Medicare & Medicaid Services?

The Alfred Dyonisius Wyatt has been assigned the NPI (National Provider Identifier) 1730196189 by the CMS (Centers for Medicare & Medicaid Services). This 10-digit code serves as a unique identification number for healthcare providers.

Could you please provide the complete street address where Alfred Dyonisius Wyatt is physically located?

The Alfred Dyonisius Wyatt is physically situated at the following address: 6230 Old National Hwy, College Park, GA, 303494330.

What is Alfred Dyonisius Wyatt's area of specialization, and what is the corresponding taxonomy classification code for this field of practice?

The specialized area of practice for Alfred Dyonisius Wyatt is General Practice, and the taxonomy code that categorizes this field of expertise is 1223G0001X.

On what date did the Alfred Dyonisius Wyatt receive the assignment of its 1730196189 from the Centers for Medicare & Medicaid Services?

The Alfred Dyonisius Wyatt was issued its 1730196189 by the Centers for Medicare & Medicaid Services on 2006-08-01.

As of what date were the details pertaining to Alfred Dyonisius Wyatt last refreshed?

The information related to the Alfred Dyonisius Wyatt, including its address, specialty, and other relevant details, was last updated on 2007-07-08.

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