Organization
R K WYATT, DMD, PC
Active
Other names
Alabama Cosmetic and Family Dentistry
Organization subpart
No
Provider details
NPI number
Authorized official
DR. RALPH KURRY WYATT D.M.D. (PRESIDENT)
(256) 734-1866
Entity
Organization
Contact information
Practice address
307 ELIZABETH ST NE, CULLMAN, AL 35055-2937
(256) 734-1866
(256) 734-1869
Mailing address
307 ELIZABETH ST NE, CULLMAN, AL 35055-2937
(256) 734-1866
(256) 734-1869
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
3074
AL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
000097699
—
AL
Enumeration date
07/21/2008
Last updated
07/21/2008
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