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KENT H. WYATT D.D.S. P.C. NPI 1396705109


NPI Information

NPI: 1396705109
Provider Name: KENT H. WYATT, D.D.S., P.C.
Classification: Dentist - 1223E0200X
Entity Type: Organization

Specialization: Endodontics

Address:
512 E WHITEHOUSE CANYON RD
SUITE 120
GREEN VALLEY, AZ
ZIP 85614
Phone: (520) 625-6167
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KENT H. WYATT, D.D.S., P.C. is an endodontics dentist in Green Valley, AZ. The provider is the branch of dentistry that is concerned with the morphology, physiology and pathology of the human dental pulp and periradicular tissues. Its study and practice encompass the basic and clinical sciences including biology of the normal pulp, the etiology, diagnosis, prevention and treatment of diseases and injuries of the pulp and associated periradicular conditions. KENT H. WYATT, D.D.S., P.C. NPI is 1396705109. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

512 E WHITEHOUSE CANYON RD
SUITE 120
GREEN VALLEY, AZ
ZIP 85614-500
Phone: (520) 625-6167
Fax: (520) 625-6169

The provider's authorized official is Kent H. Wyatt .
The authorized official title is President and has the following contact phone number (520) 625-6167.

The enumeration date for this NPI number is 3/24/2006 and was last updated on 8/22/2020.


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 CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
11223E0200XDentistEndodonticsD5837ARIZONAYes

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: 4/28/2024

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