Individual provider · Type 1 NPI

Kenneth Robert Wyatt, DMD

General Practice Dentistry · Cumming, GA

NPI number 1295806461 Active

Practice location

285 Elm St, Suite 200
Cumming, GA 30040-8233

Mailing address

9020 Champion Ct
Ball Ground, GA 30107-7018

Specialties and licenses

TaxonomyCodeLicense
General Practice Dentistry Primary 1223G0001X012032 (GA)

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 1295806461

Kenneth Robert Wyatt, DMD's National Provider Identifier is 1295806461, issued on Nov 10, 2006. The primary taxonomy on file is General Practice Dentistry (1223G0001X), and the practice location is in Cumming, GA. The record was last updated on Jun 11, 2014.