Individual
DR. DAVID L WYATT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DMD
Contact information
Practice address
3012 BUSINESS PARK CIR, SUITE 300, GOODLETTSVILLE, TN 37072-3190
(615) 859-2700
(615) 859-0603
Mailing address
3012 BUSINESS PARK CIR, SUITE 300, GOODLETTSVILLE, TN 37072-3190
(615) 859-2700
(615) 859-0603
Taxonomy
Speciality
Code
Description
License number
State
1223X0400X
Orthodontics and Dentofacial Orthopedics Dentistry
Primary
4104
TN
1223X0400X
Orthodontics and Dentofacial Orthopedics Dentistry
5135
KY
Other
Enumeration date
10/03/2006
Last updated
04/11/2014
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