David D. Wyse, D.D.S., P.C. in Bloomington - Dental
David D. Wyse, D.D.S., P.C. - NPI 1124143896
David D. Wyse, D.D.S., P.C. is a Dental in Bloomington, Illinois. David D. Wyse, D.D.S., P.C. practices all healthcare services and medical treatments related to Dental. The NPI Number for David D. Wyse, D.D.S., P.C. is 1124143896. The last update date is 2013-10-03.
David D. Wyse, D.D.S., P.C.'s current location address is 207 S Prospect Rd, Bloomington, Illinois. You can contact this provider via phone number 3096636393 and fax number 3096640366. The mailing address for David D. Wyse, D.D.S., P.C. is 207 S Prospect Rd, Bloomington, Illinois. To know further, please read the information below!
Provider Profile Detail
| Provider Organization | David D. Wyse, D.D.S., P.C. |
|---|---|
| Address | 207 S Prospect Rd, Bloomington, Illinois |
| Phone Number | 3096636393 |
| Fax Number | 3096640366 |
| Sole Proprietor | -- |
| Credentials | -- |
Authorized Official
| Title or Position | OWNER |
|---|---|
| Authorized Official Name | Wyse D. David |
| Credentials | DDS |
| Telephone Number | 3096636393 |
NPI Number Detail
| NPI Number | 1124143896 |
|---|---|
| Provider Enumeration Date | 2007-03-20 |
| Last Updated Date | 2013-10-03 |
Provider Mailing Address Detail
| Address | 207 S Prospect Rd |
|---|---|
| City | Bloomington |
| State | Illinois (IL) |
| Post Code | 617044905 |
| Phone Number | 3096636393 |
| Fax Number | 3096640366 |
Provider's Primary Taxonomy Detail
| Speciality | Dental |
|---|---|
| Taxonomy | 261Qd0000X |
| Licence No | 60001892 |
|
Definition: Provides general and specialized dental care and oral surgery. |
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Post Comment/ Review Below
What is the unique 10-digit identification code assigned to David D. Wyse, D.D.S., P.C. by the Centers for Medicare & Medicaid Services?
The David D. Wyse, D.D.S., P.C. has been issued the NPI (National Provider Identifier) 1124143896, which serves as a unique identifier for healthcare providers, assigned by the Centers for Medicare & Medicaid Services (CMS).
Could you kindly provide the complete physical address where David D. Wyse, D.D.S., P.C.'s facilities are geographically located?
The facilities of David D. Wyse, D.D.S., P.C. are physically situated at the following location: 207 S Prospect Rd, Bloomington, IL, 617044905.
What is David D. Wyse, D.D.S., P.C.'s area of expertise and its corresponding taxonomy classification?
The David D. Wyse, D.D.S., P.C.'s field of specialization is Dental, and it falls under the taxonomy code 261Qd0000X, which categorizes healthcare providers based on their areas of practice.
When did David D. Wyse, D.D.S., P.C. receive its 1124143896 assignment?
The David D. Wyse, D.D.S., P.C. was assigned its 1124143896 on 2007-03-20, which is the date when this unique identifier was issued to the organization.
When was the information regarding David D. Wyse, D.D.S., P.C., such as address, specialty, and other details, most recently verified or confirmed to be accurate?
The information pertaining to David D. Wyse, D.D.S., P.C., including its address, specialty, and other relevant details, was most recently verified or confirmed to be accurate on 2013-10-03.