Organization · Type 2 NPI

Tracy D Wyatt DDS PC

Orthodontics and Dentofacial Orthopedics Dentistry · Las Vegas, NV

NPI number 1801051503 Active

Practice location

7550 W Lake Mead Blvd, Suite 6
Las Vegas, NV 89128-1001

Call (702) 242-9777 Map

Specialties and licenses

TaxonomyCodeLicense
Orthodontics and Dentofacial Orthopedics Dentistry Primary 1223X0400XS3-163 (NV)

Orthodontics and Dentofacial Orthopedics Dentistry: 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 funct…

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About NPI 1801051503

Tracy D Wyatt DDS PC's National Provider Identifier is 1801051503, issued on Jul 22, 2008. The primary taxonomy on file is Orthodontics and Dentofacial Orthopedics Dentistry (1223X0400X), and the practice location is in Las Vegas, NV. The record was last updated on Jul 22, 2008.