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GENTLE DENTAL CENTERS OF THE OZRKS LLC BRETT D WYMAN SOLE MEMBER NPI 1316660533


NPI Information

NPI: 1316660533
Provider Name: GENTLE DENTAL CENTERS OF THE OZRKS, LLC BRETT D WYMAN SOLE MEMBER
Classification: Clinic/Center - 261QD0000X
Entity Type: Organization

Specialization: Dental

Address:
827 W MAIN ST STE 202
BRANSON, MO
ZIP 65616
Phone: (417) 334-7400
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GENTLE DENTAL CENTERS OF THE OZRKS, LLC BRETT D WYMAN SOLE MEMBER is a dental clinic center in Branson, MO. GENTLE DENTAL CENTERS OF THE OZRKS, LLC BRETT D WYMAN SOLE MEMBER NPI is 1316660533. The provider is registered as an organization entity type.

The provider's business location address is:

827 W MAIN ST STE 202
BRANSON, MO
ZIP 65616-306
Phone: (417) 334-7400
Fax: (417) 335-3942

The provider's authorized official is Brett D Wyman .
The authorized official title is Owner/dentist and has the following contact phone number (417) 334-7400.

The enumeration date for this NPI number is 9/22/2022 and was last updated on 9/22/2022.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1261QD0000XClinic/CenterDentalYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 5/5/2024

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