MR. KENNETH W WYMAN NPI 1427222405

NPI Information

NPI: 1427222405
Provider Name: MR. KENNETH W WYMAN
Classification: Dentist - 1223S0112X
Entity Type: Individual

Specialization: Oral and Maxillofacial Surgery

Address:
1225 WELL ST
FAIRBANKS, AK
ZIP 99701
Phone: (907) 456-6850
Get Directions

MR. Kenneth W Wyman is an oral and maxillofacial surgery dentist in Fairbanks, AK. The provider is the specialty of dentistry which includes the diagnosis, surgical and adjunctive treatment of diseases, injuries and defects involving both the functional and esthetic aspects of the hard and soft tissues of the oral and maxillofacial region. MR. Kenneth W Wyman NPI is 1427222405. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

The provider's business location address is:

1225 WELL ST
FAIRBANKS, AK
ZIP 99701-836
Phone: (907) 456-6850
Fax: (907) 456-7510

The enumeration date for this NPI number is 4/21/2008 and was last updated on 4/21/2008.

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
1	122300000X	Dentist		UNKNOWN	ALASKA	No
2	1223P0221X	Dentist	Pediatric Dentistry	UNKNOWN	ALASKA	No
3	1223S0112X	Dentist	Oral and Maxillofacial Surgery	UNKNOWN	ALASKA	Yes

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: 11/14/2023

NPI Synchronization or Removal

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