Jay M Wylam is a Periodontics in Salem, Oregon. Jay M Wylam practices all healthcare services and medical treatments related to Periodontics. The NPI Number for Jay M Wylam is 1699773770. The last update date is 2007-07-08.
Jay M Wylam's current location address is 2605 12th Pl Se, Salem, Oregon. You can contact this provider via phone number 5035854281 and fax number 5035857427. The mailing address for Jay M Wylam is 2605 12th Pl Se, Salem, Oregon. To know further, please read the information below!
Provider Profile Detail
Provider Name | Jay M Wylam |
---|---|
Address | 2605 12th Pl Se, Salem, Oregon |
Phone Number | 5035854281 |
Fax Number | 5035857427 |
Sole Proprietor | X |
Credentials | DMD |
NPI Number Detail
NPI Number | 1699773770 |
---|---|
Provider Enumeration Date | 2005-07-12 |
Last Updated Date | 2007-07-08 |
Provider Mailing Address Detail
Address | 2605 12th Pl Se |
---|---|
City | Salem |
State | Oregon (OR) |
Post Code | 973022576 |
Phone Number | 5035854281 |
Fax Number | 5035857427 |
Provider's Primary Taxonomy Detail
Speciality | Periodontics |
---|---|
Taxonomy | 1223P0300X |
Licence No | 6637 |
Definition: That specialty of dentistry which encompasses the prevention, diagnosis and treatment of diseases of the supporting and surrounding tissues of the teeth or their substitutes and the maintenance of the health, function and esthetics of these structure |
Post Comment/ Review Below
What is the unique identifier code issued to Jay M Wylam by the Centers for Medicare & Medicaid Services?
The Jay M Wylam has been assigned the NPI (National Provider Identifier) 1699773770. This 10-digit code serves as a unique identification number for healthcare providers issued by the Centers for Medicare & Medicaid Services (CMS).
Could you provide the complete physical address where Jay M Wylam is located?
The Jay M Wylam is situated at the following address: 2605 12Th Pl Se, Salem, OR, 973022576.
What is Jay M Wylam's primary field of medical specialization, and what is the corresponding taxonomy classification code for this area of expertise?
The primary field of medical specialization for Jay M Wylam is Periodontics, and the taxonomy classification code that categorizes this area of expertise is 1223P0300X.
On what date did the Centers for Medicare & Medicaid Services issue the 1699773770 to Jay M Wylam?
The Jay M Wylam received its 1699773770 assignment from the Centers for Medicare & Medicaid Services on 2005-07-12.
When was the information pertaining to Jay M Wylam most recently updated or revised?
The details related to Jay M Wylam, including its address, specialty, and other relevant information, were last updated or revised on 2007-07-08.