Wylie, Kenneth Dean

Wylie, Kenneth Dean is an individual health care provider with primary practice located at 325 Ne 6Th St , Mcminnville OR 97128-4702. He recently has only one registered license in Dental Providers / Dentist, which is considered as his primary health care specialty. Wylie, Kenneth Dean can be contacted via phone (503) 472-6182.

Contact Information

Primary practice address
325 Ne 6Th St Mcminnville OR 97128-4702
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #State
Dental Providers / Dentist 122300000X D8596 Oregon

Profile Details

NPI number 1083777981
LBN Legal business name Wylie, Kenneth Dean
Credentials Doctor of Dental Medicine (DMD)
Entity Individual
Sole proprietor 1 No
Enumeration date Dec 19th, 2006
Last updated Apr 11th, 2015 - about 9 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.

Request for update

Popular Providers