David Douglas Wyse, D.D.S.

General Practice Dentistry · Bloomington, IL

Individual Active NPI

NPI number 1669506234

Practice location

207 S Prospect Rd
Ste. 2
Bloomington, IL 61704-4905
Phone
(309) 663-6393
Fax
(309) 664-0366

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NPI record

NPI
1669506234
Entity type
Individual (Type 1)
Enumeration date
March 15, 2007
Last updated
July 8, 2007
Sole proprietor
No

Specialties & taxonomy codes

TaxonomyCodeLicenseState
General Practice Dentistry Primary 1223G0001X — IL

About Dr. Wyse

David Douglas Wyse, D.D.S. is a healthcare provider registered in the NPI registry with the primary taxonomy General Practice Dentistry (code 1223G0001X). The practice location is 207 S Prospect Rd, Ste. 2, Bloomington, IL 61704-4905. The NPI number 1669506234 was assigned on March 15, 2007 and the record was last updated on July 8, 2007.

Frequently asked questions

What is the NPI number of David Douglas Wyse, D.D.S.?

The NPI number is 1669506234.

What is the phone number of Dr. Wyse?

The phone number listed for the practice location is (309) 663-6393.

Where is Dr. Wyse located?

207 S Prospect Rd, Ste. 2, Bloomington, IL 61704-4905.

What is the taxonomy code for Dr. Wyse?

The primary taxonomy code is 1223G0001X – General Practice Dentistry.

Is this information correct?

All details come from the public NPPES registry. Providers can update their record at nppes.cms.hhs.gov; changes appear here after the next weekly update.

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