Wyman, Kenneth W

Wyman, Kenneth W is an individual health care provider with primary practice located at 1225 Well St , Fairbanks AK 99701-2836. He recently has 3 registered licenses in different health care specialties including Dental Providers / Dentist, Dental Providers / Pediatric Dentistry, Dental Providers / Oral and Maxillofacial Surgery. Dental Providers / Oral and Maxillofacial Surgery is his primary health care specialty. Wyman, Kenneth W can be contacted via phone (907) 456-6850.

Contact Information

Primary practice address
1225 Well St Fairbanks AK 99701-2836
Phone: (907) 456-6850
Fax: (907) 456-7510
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Dental Providers / Dentist 122300000X UNKNOWN Alaska
Dental Providers / Pediatric Dentistry 1223P0221X UNKNOWN Alaska
Dental Providers / Oral and Maxillofacial Surgery 1223S0112X UNKNOWN Alaska

Profile Details

NPI number 1427222405
LBN Legal business name Wyman, Kenneth W
Credentials
Entity Individual
Sole proprietor 1 No
Enumeration date Apr 21st, 2008
Last updated Apr 21st, 2008 - 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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