Individual provider · Type 1 NPI
Gary L. Wyatt, DDS
Oral and Maxillofacial Surgery (Dentist) · Costa Mesa, CA
Practice location
1801 Newport Boulevard, Suite C
Costa Mesa, CA 92627
Fax (949) 722-2481
Mailing address
1401 Avocado Avenue, Suite 506
Newport Beach, CA 92660
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Oral and Maxillofacial Surgery (Dentist) Primary | 1223S0112X | 22313 (CA) |
Oral and Maxillofacial Surgery (Dentist): 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.
Another provider at this address
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- Thomas R. Michaelis, DDS MDOral and Maxillofacial Surgery (Dentist) Costa Mesa, CA NPI 1518029115
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About NPI 1003978602
Gary L. Wyatt, DDS's National Provider Identifier is 1003978602, issued on Dec 14, 2006. The primary taxonomy on file is Oral and Maxillofacial Surgery (Dentist) (1223S0112X), and the practice location is in Costa Mesa, CA. The record was last updated on Jul 8, 2007.