# LYDIA C. WYATT, D.D.S., P.C.

> Is this information incorrect? This page shows public data from NPPES. Update your record in NPPES and this page will update automatically within 7 days. [Update your NPPES record](https://nppes.cms.hhs.gov)

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

## Provider details

- **NPI number:** 1720293913
- **Authorized official:** DR. LYDIA CLAIRE WYATT D.D.S. (OWNER)
- **Authorized official phone:** (702) 220-9555

## Contact information

- **Practice address:** 9500 W FLAMINGO RD, SUITE 200, LAS VEGAS, NV 89147-5719
- **Practice address phone:** (702) 220-9555
- **Mailing address:** 9500 W FLAMINGO RD, SUITE 200, LAS VEGAS, NV 89147-5719
- **Mailing address phone:** (702) 220-9555

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 1223G0001X | General Practice Dentistry | 4340 | NV | Yes |

## Other

- **Enumeration date:** 05/11/2007
- **Last updated:** 08/22/2020