NPI 1013021039

Wayne Nolan Wyatt, DDSMS

Practitioner Dentist Tulsa, OK

Practice location

Address: 9840 E 81st St STE 100, Tulsa, OK 74133-4583
Phone: (918) 496-1155
Fax: (918) 496-1167

Registered specialties (2)

Dentist Primary

Dental Providers Taxonomy 122300000X Licence 5563 (OK)

Other Dentist providers in Oklahoma →

Orthodontics and Dentofacial Orthopedics Dentistry

Dental Providers Taxonomy 1223X0400X Licence 151 (OK)

Registry record

NPI: 1013021039
Entity type: Individual
Sex (as registered): Male
NPI issued: 18 Aug 2006
Record last updated: 29 Jul 2020

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.