# RONALD M WAYT DDS INC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1700813144
- **Authorized official:** RONALD MELVIN WAYT DDS (DENTIST PRESIDENT)
- **Authorized official phone:** (405) 518-6259

## Contact information

- **Practice address:** 1011 N BROADWAY, SUITE 7, TECUMSEH, OK 74873-0219
- **Practice address phone:** (405) 598-6259
- **Practice address fax:** (405) 598-6259
- **Mailing address:** PO BOX 219, TECUMSEH, OK 74873-0219
- **Mailing address phone:** (405) 598-6259
- **Mailing address fax:** (405) 598-6259

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 122300000X | Dentist | 3083 | OK | Yes |

## Other

- **Enumeration date:** 06/28/2006
- **Last updated:** 08/22/2020