Wyatt, Wayne Nolan

Wyatt, Wayne Nolan is an individual health care provider with primary practice located at 9840 E 81St St Ste 100 , Tulsa OK 74133-4583. He recently has 2 registered licenses in different health care specialties including Dental Providers / Orthodontics and Dentofacial Orthopedics, Dental Providers / Dentist. Dental Providers / Dentist is his primary health care specialty. Wyatt, Wayne Nolan can be contacted via phone (918) 496-1155.

Contact Information

Primary practice address
9840 E 81St St Ste 100 Tulsa OK 74133-4583
Phone: (918) 496-1155
Fax: (918) 496-1167
Website:
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Health care specialties

SpecialtyCodeLicense #State
Dental Providers / Orthodontics and Dentofacial Orthopedics 1223X0400X 151 Oklahoma
Dental Providers / Dentist 122300000X 5563 Oklahoma

Profile Details

NPI number 1013021039
LBN Legal business name Wyatt, Wayne Nolan
Credentials DDS MS
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 18th, 2006
Last updated Jul 29th, 2020 - about 5 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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Identifiers

StateTypeNumberIssuer
All States NPI 1013021039 NPPES
Oklahoma MEDICAID 200044110

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