NPI 1780858654

J.Michael Wyatt Inc.P.C.

Organisation Point of Service Oklahoma City, OK

Practice location

Address: 736 NW 63rd St, Oklahoma City, OK 73116-7602
Phone: (405) 842-0033
Fax: (405) 842-0045

Authorised official

Name: Jerry Michael Wyatt
Title: President/Dentist
Phone: (405) 842-0033

Registered specialties

Point of Service Primary

Managed Care Organizations Taxonomy 305S00000X Licence 4910 (OK)

Other Point of Service providers in Oklahoma →

Registry record

NPI: 1780858654
Entity type: Organization
NPI issued: 22 Apr 2008
Record last updated: 22 Apr 2008

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.