Todd Samuel Wyse in Goshen - General Practice
Todd Samuel Wyse - NPI 1336264423
Todd Samuel Wyse is a General Practice in Goshen, Indiana. Todd Samuel Wyse practices all healthcare services and medical treatments related to General Practice. The NPI Number for Todd Samuel Wyse is 1336264423. The last update date is 2007-07-08.
Todd Samuel Wyse's current location address is 57250 Alpha Dr, Goshen, Indiana. You can contact this provider via phone number 5748753817 and fax number 5748753984. The mailing address for Todd Samuel Wyse is 57250 Alpha Dr, Goshen, Indiana. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Todd Samuel Wyse |
|---|---|
| Address | 57250 Alpha Dr, Goshen, Indiana |
| Phone Number | 5748753817 |
| Fax Number | 5748753984 |
| Sole Proprietor | Y |
| Credentials | D.D.S. |
NPI Number Detail
| NPI Number | 1336264423 |
|---|---|
| Provider Enumeration Date | 2007-03-20 |
| Last Updated Date | 2007-07-08 |
Provider Mailing Address Detail
| Address | 57250 Alpha Dr |
|---|---|
| City | Goshen |
| State | Indiana (IN) |
| Post Code | 465287804 |
| Phone Number | 5748753817 |
| Fax Number | 5748753984 |
Provider's Primary Taxonomy Detail
| Speciality | General Practice |
|---|---|
| Taxonomy | 1223G0001X |
| Licence No | 12008834 |
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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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What is the unique 10-digit identification code issued to Todd Samuel Wyse by the Centers for Medicare & Medicaid Services?
The Todd Samuel Wyse has been assigned the NPI (National Provider Identifier) 1336264423 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 Todd Samuel Wyse?
The Todd Samuel Wyse is situated at 57250 Alpha Dr, in the city of Goshen, state of IN, with the zip code 465287804.
What is Todd Samuel Wyse's area of specialization, and what is the corresponding taxonomy classification code for this field of practice?
The specialized area of practice for Todd Samuel Wyse is General Practice, and the taxonomy code that categorizes this field of expertise is 1223G0001X.
When was the Todd Samuel Wyse's 1336264423 issued?
The Todd Samuel Wyse's 1336264423 was issued on 2007-03-20.
When was the Todd Samuel Wyse's information last updated?
The Todd Samuel Wyse's information was last updated on 2007-07-08.
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