David D. Wyse, DDS, PC
David D. Wyse, DDS, PC is a Dental Clinic/Center in Bloomington, Illinois. Licensed in Illinois. Registered with an NPI since 2007.
- Licensed in
- IL
- In the registry since
- 2007
What do these letters mean?
- PC — Professional corporation
- A form of business registration, not a clinical qualification.
Practice location Address checks out
207 S Prospect Rd Ste 2Bloomington, IL 61704-4905
Phone: (309) 663-6393
Fax: (309) 664-0366
Show map & directions
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Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Dental Clinic/Center (primary) | Taxonomy 261QD0000X · Licence 060001892 (IL) |
|---|
Record details
| NPI number | 1124143896 |
|---|---|
| Entity type | Organization (Type 2) |
| Organization subpart | No |
| Authorized official | David Wyse — Owner · (309) 663-6393 |
| NPI enumerated | March 20, 2007 |
| Last updated in NPPES | October 3, 2013 |
| Mailing address | 207 S Prospect Rd, Ste. 2, Bloomington, IL 61704-4905 |
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