WAYNE N. WYATT, DDS, MS, PC (NPI# 1699025122) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1699025122 |
| Entity Type | Organization |
| Organization Name | WAYNE N. WYATT, DDS, MS, PC |
| Practice Address |
9840 E 81st St Ste 100 Tulsa OK 74133-4583 |
| Practice Telephone | 9184961555 |
| Practice Fax Number | 9184961167 |
| Mailing Telephone | 9184961555 |
| Mailing Fax Number | 9184961167 |
| Enumeration Date | 2012-09-12 |
| Last Update Date | 2020-08-05 |
| Authorized Official Name | DR. WAYNE NOLAN WYATT (ORTHODONTIST) |
| Authorized Official Telephone | 9184961155 |
| Authorized Official Credential | DDS |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 1223X0400X |
Dentist Specialization: Orthodontics and Dentofacial Orthopedics |
5561 | OK | Dental Providers |
| Street Address |
9840 E 81ST ST STE 100 |
| City | TULSA |
| State | OK |
| Zip Code | 74133-4583 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1013021039 | Wayne Nolan Wyatt | Dentist | 9840 E 81st St Ste 100, Tulsa, OK 74133-4583 | 2006-08-18 |
| 1902367618 | Ketcen of Tulsa LLC | Clinic/Center | 9840 E 81st St Ste 100, Tulsa, OK 74133-4583 | 2019-03-26 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1932725058 | Economy Pharmacy | Pharmacy | 10120 E 91st, Tulsa, OK 74133 | 2020-06-24 |
| 1710539424 | Fresenius Medical Care Tulsa, LLC | Clinic/Center | 9310 East 91st Street, Tulsa, OK 74133 | 2019-07-12 |
| 1003382060 | Carefirst Pharmacy Tulsa, Inc. | Pharmacy | 6214 S. Sheridan Rd, Tulsa, OK 74133 | 2018-10-17 |
| 1003397332 | Adekemi Taiwo | Nurse Practitioner | Hillcrest South Medical Plaza, 8803 S. 101 St E. Ave. Suite 350, Tulsa, OK 74133 | 2018-08-24 |
| 1346732013 | Lauren Nichols | Dentist | 7707 E 111th St Ste 105, Tulsa, OK 74133 | 2018-05-30 |
| 1699264259 | Courtney N Johnson, Pllc | Dentist | 7901 S Sheridan Rd Unit A, Tulsa, OK 74133 | 2018-05-08 |
| 1417464199 | Tulsa Medical and Orthopedic Center PC | Family Medicine | 8165 S Mingo Rd Ste 200, Tulsa, OK 74133 | 2018-01-04 |
| 1013421023 | Susan C. Willard, Do, Pllc | Family Medicine | 6532 E. 71st Street, Suite 150, Tulsa, OK 74133 | 2017-11-29 |
| 1851800825 | Seyva LLC | Clinic/Center | 8522 S 70th E Ave, Tulsa, OK 74133 | 2017-09-21 |
| 1477072031 | Amanda Dawn Long | Registered Nurse | 10507 E 91st St Ste 310, Tulsa, OK 74133 | 2017-09-14 |
| Find all providers in zip 74133 | ||||
| Taxonomy Code | 1223X0400X |
| Grouping | Dental Providers |
| Classification | Dentist |
| Specialization | Orthodontics and Dentofacial Orthopedics |
| That area of dentistry concerned with the supervision, guidance and correction of the growing or mature dentofacial structures, including those conditions that require movement of teeth or correction of malrelationships and malformations of their related structures and the adjustment of relationships between and among teeth and facial bones by the application of forces and/or the stimulation and redirection of functional forces within the craniofacial complex. Major responsibilities of orthodontic practice include the diagnosis, prevention, interception and treatment of all forms of malocclusion of the teeth and associated alterations in their surrounding structures; the design, application and control of functional and corrective appliances; and the guidance of the dentition and its supporting structures to attain and maintain optimum occlusal relations in physiologic and esthetic harmony among facial and cranial structures. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1548478381 | Anand N. Patel P.C. | Dentist | 4550 S Harvard Ave, Tulsa, OK 74135-2906 | 2007-05-17 |
| 1104041920 | Jonathan Scott Cooper | Dentist | 3916 E 91st St, Tulsa, OK 74137-3602 | 2007-04-16 |
| 1174669527 | Kirkpatrick & Lai Dds Inc PC | Dentist | 5304 S Harvard Ave, Tulsa, OK 74135-3817 | 2007-01-30 |
| 1124199807 | Blake R. Henry | Dentist | 7705 E 81st St, Tulsa, OK 74133-4200 | 2006-11-13 |
| 1912916123 | Mark Alan Andregg | Dentist | 10125 S Sheridan Rd, Suite E, Tulsa, OK 74133-6737 | 2006-08-05 |
| 1396752663 | Van L. Nowlin | Dentist | 5010 East 68th St., Ste 200, Tulsa, OK 74136-3305 | 2006-08-01 |
| 1174565790 | L Kent Shacklett | Dentist | 3305 E 45th St, Tulsa, OK 74135-2901 | 2006-06-11 |
| 1528027091 | Ryan V. Nowlin Dds, Ms, PC | Dentist | 5010 E. 68th St., Suite 200, Tulsa, OK 74136 | 2006-03-22 |
| 1750366514 | Robert Jerome Herman | Dentist | 6565 S Yale Ave Ste 510, Tulsa, OK 74136-8306 | 2005-12-14 |
| 1225029671 | Lawrence Elliott Sims | Dentist | 2117 S Atlanta Pl, Tulsa, OK 74114-1709 | 2005-11-03 |
| Find all providers in TULSA | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.