| Brett D Wyman Dds Pc | |
|
1614 N Benton Ave Springfield MO 65803-2804 | |
| (417) 862-9925 | |
| (417) 862-4541 |
| Full Name | Brett D Wyman Dds Pc |
|---|---|
| Speciality | Clinic/center - Dental |
| Location | 1614 N Benton Ave, Springfield, Missouri |
| Authorized Official Name and Position | Brett Dawson Wyman (OWNER/DENTIST) |
| Authorized Official Contact | 4178629925 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Brett D Wyman Dds Pc 1614 N Benton Ave Springfield MO 65803-2804 Ph: (417) 862-9925 | Brett D Wyman Dds Pc 1614 N Benton Ave Springfield MO 65803-2804 Ph: (417) 862-9925 |
| NPI Number | 1043933252 |
|---|---|
| Provider Enumeration Date | 09/22/2022 |
| Last Update Date | 09/22/2022 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1043933252 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QD0000X | Clinic/center - Dental | (* (Not Available)) | Primary |
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