Gary L Wyatt in Newport Beach - Oral And Maxillofacial Surgery
Gary L Wyatt - NPI 1003978602
Gary L Wyatt is a Oral And Maxillofacial Surgery in Newport Beach, California. Gary L Wyatt practices all healthcare services and medical treatments related to Oral And Maxillofacial Surgery. The NPI Number for Gary L Wyatt is 1003978602. The last update date is 2007-07-08.
Gary L Wyatt's current location address is 1401 Avocado Avenue, Newport Beach, California. You can contact this provider via phone number 9497601661 and fax number 9497608016. The mailing address for Gary L Wyatt is 1401 Avocado Avenue, Newport Beach, California. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Gary L Wyatt |
|---|---|
| Address | 1401 Avocado Avenue, Newport Beach, California |
| Phone Number | 9497601661 |
| Fax Number | 9497608016 |
| Sole Proprietor | N |
| Credentials | DDS |
NPI Number Detail
| NPI Number | 1003978602 |
|---|---|
| Provider Enumeration Date | 2006-12-14 |
| Last Updated Date | 2007-07-08 |
Provider Mailing Address Detail
| Address | 1401 Avocado Avenue |
|---|---|
| City | Newport Beach |
| State | California (CA) |
| Post Code | 92660 |
| Phone Number | 9497601661 |
| Fax Number | 9497608016 |
Provider's Primary Taxonomy Detail
| Speciality | Oral And Maxillofacial Surgery |
|---|---|
| Taxonomy | 1223S0112X |
| Licence No | 22313 |
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Definition: The specialty of dentistry which includes the diagnosis, surgical and adjunctive treatment of diseases, injuries and defects involving both the functional and esthetic aspects of the hard and soft tissues of the oral and maxillofacial region. |
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Post Comment/ Review Below
What is the unique 10-digit identifier code assigned to Gary L Wyatt by the Centers for Medicare & Medicaid Services?
The Gary L Wyatt has been issued the NPI (National Provider Identifier) 1003978602 by the CMS (Centers for Medicare & Medicaid Services), which serves as a unique identification number for healthcare providers.
Could you provide the complete physical address where Gary L Wyatt is located?
The Gary L Wyatt is situated at the following address: 1401 Avocado Avenue, Newport Beach, CA, 92660.
What is Gary L Wyatt's specialized field of practice, and what is the corresponding taxonomy classification code?
The Gary L Wyatt's area of specialization is Oral And Maxillofacial Surgery, and the corresponding taxonomy code that categorizes this field of practice is 1223S0112X.
On what date did the Centers for Medicare & Medicaid Services originally issue the 1003978602 to Gary L Wyatt?
The Centers for Medicare & Medicaid Services originally issued the 1003978602 to Gary L Wyatt on 2006-12-14.
When was the information regarding Gary L Wyatt, such as address, specialty, and other details, most recently verified or confirmed to be accurate?
The information pertaining to Gary L Wyatt, including its address, specialty, and other relevant details, was most recently verified or confirmed to be accurate on 2007-07-08.