Individual provider · Type 1 NPI

Ellen Renee Wyant, DMD

General Practice Dentistry · Niles, MI

NPI number 1144389396 Active

Practice location

104 Grant St
Niles, MI 49120-2201

Call (269) 683-1077 Map

Fax (269) 684-5305

Specialties and licenses

TaxonomyCodeLicense
General Practice Dentistry Primary 1223G0001X2901015477 (MI)

General Practice Dentistry: A general dentist is the primary dental care provider for patients of all ages. The general dentist is responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs.

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About NPI 1144389396

Ellen Renee Wyant, DMD's National Provider Identifier is 1144389396, issued on Dec 6, 2006. The primary taxonomy on file is General Practice Dentistry (1223G0001X), and the practice location is in Niles, MI. The record was last updated on Mar 3, 2015.