Organization Active NPI

Surrey Hills Dental Inc

  • General Practice Dentistry
  • Yukon, OK
National Provider Identifier
1043401599
Registry record updated Apr 7, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
4778 Issued in OK
Legal business name
SURREY HILLS DENTAL INC
Practice address
12316 N Mustang Rd
Yukon, OK 73099-8166
Phone
(405) 373-2255
Fax
(405) 373-2256
NPI assigned
Aug 8, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 7, 2009

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Dr. Donald Scott Wyatt, DDSNPI 1194704098
Title
President
Phone
(405) 373-2255

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice DentistryGroup: 193400000X SINGLE SPECIALTY GROUP 1223G0001X 4778 OK Primary

Addresses

Primary practice location

12316 N Mustang Rd
Yukon, OK 73099-8166

Mailing address

11117 Surrey Hills Blvd
Yukon, OK 73099-8155
Phone (405) 373-2255

National Provider Directory

National Provider Directory

Locations

11117 Surrey Hills Blvd
Yukon, OK 73099
Phone (405) 373-2255

12316 N Mustang Rd
Yukon, OK 73099
Phone (405) 373-2255

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1186531200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1239062400000",
    "number": "1043401599",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11117 SURREY HILLS BLVD",
            "city": "YUKON",
            "state": "OK",
            "postal_code": "730998155",
            "telephone_number": "405-373-2255",
            "fax_number": "405-373-2256"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12316 N MUSTANG RD",
            "city": "YUKON",
            "state": "OK",
            "postal_code": "730998166",
            "telephone_number": "405-373-2255",
            "fax_number": "405-373-2256"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SURREY HILLS DENTAL INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-08-08",
        "last_updated": "2009-04-07",
        "status": "A",
        "authorized_official_last_name": "WYATT",
        "authorized_official_first_name": "DONALD",
        "authorized_official_middle_name": "SCOTT",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "405-373-2255",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, General Practice",
            "state": "OK",
            "license": "4778",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Yukon, OK

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 7, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.