Wyatt, Alfred Dyonisius

Wyatt, Alfred Dyonisius is an sole proprietor health care provider with primary practice located at 6230 Old National Hwy , College Park GA 30349-4330. He recently has only one registered license in Dental Providers / General Practice, which is considered as his primary health care specialty. Wyatt, Alfred Dyonisius can be contacted via phone (770) 994-7811.

Contact Information

Primary practice address
6230 Old National Hwy College Park GA 30349-4330
Fax: (770) 994-7764
Website:

Health care specialties

SpecialtyCodeLicense #State
Dental Providers / General Practice 1223G0001X 10071 Georgia

Profile Details

NPI number 1730196189
LBN Legal business name Wyatt, Alfred Dyonisius
Credentials Doctor of Dental Medicine (DMD)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Aug 1st, 2006
Last updated Jul 8th, 2007 - about 17 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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