Organization · Type 2 NPI
David D. Wyse, D.d.s., P.c.
Dental Clinic/Center · Bloomington, IL
NPI number
1124143896
Active
Practice location
207 S Prospect Rd, Ste. 2
Bloomington, IL 61704-4905
Fax (309) 664-0366
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Dental Clinic/Center Primary | 261QD0000X | 060001892 (IL) |
Dental Clinic/Center: Definition to come...
2 other providers at this address
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- Robert D. Horenkamp, D.d.s. P.c.Dental Clinic/Center Bloomington, IL NPI 1083970255
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- Twin City DentalDental Clinic/Center Bloomington, IL NPI 1477266245
- Chesntut Health Systems, Inc.Dental Clinic/Center Bloomington, IL NPI 1659140515
- Sarah L. Swanlund, Dmd, Inc.Dental Clinic/Center Bloomington, IL NPI 1679226294
- Elger Dental, LLCDental Clinic/Center Bloomington, IL NPI 1770473696
About NPI 1124143896
David D. Wyse, D.d.s., P.c.'s National Provider Identifier is 1124143896, issued on Mar 20, 2007. The primary taxonomy on file is Dental Clinic/Center (261QD0000X), and the practice location is in Bloomington, IL. The record was last updated on Oct 3, 2013.