Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Wyatt Checketts

Individual provider Student in an Organized Health Care Education/Training Program · NPI 1477940351

Wyatt Checketts is a Student in an Organized Health Care Education/Training Program in Jacksonville, Texas. Licensed in Texas. Registered with an NPI since 2015.

Licensed in
TX
In the registry since
2015
Specialties on file
2

Practice location Address checks out

408 Wynn Dr
Jacksonville, TX 75766-4976
Phone: (903) 586-6829
Fax: (903) 589-3728
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Dentist (primary) Taxonomy 122300000X · Licence 30949 (TX)
Student in an Organized Health Care Education/Training Program Taxonomy 390200000X

Record details

NPI number1477940351
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorNo
NPI enumeratedApril 19, 2015
Last updated in NPPESAugust 27, 2024
Certification dateAugust 27, 2024
Mailing address408 Wynn Dr, Jacksonville, TX 75766-4976

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