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:
Health care specialties
Specialty | Code | License # | 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 4 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.
Identifiers
State | Type | Number | Issuer |
---|---|---|---|
All States | NPI | 1013021039 | NPPES |
Oklahoma | MEDICAID | 200044110 |
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