Active NPI
Surrey Hills Dental Inc
- General Practice Dentistry
- Yukon, OK
National Provider Identifier
1043401599
On this page
Key facts
NPPES NPI Registry- Primary specialty
- General Practice Dentistry
- License
- 4778
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Dr. Donald Scott Wyatt, DDS
- 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) | Code | License | State | Primary |
|---|---|---|---|---|
| General Practice Dentistry | 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 DirectoryLocations
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.
-
- General Practice Dentistry
- Yukon, OK
- NPI 1194704098
-
- General Practice Dentistry
- Yukon, OK
- NPI 1891286092
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.