Brett D Wyman DDS PC

Primary specialty

Dental Clinic/CenterTaxonomy code 261QD0000X

Legal business name

BRETT D WYMAN DDS PC

Practice address

1614 N Benton Ave
Springfield, MO 65803-2804

Phone

(417) 862-9925

Fax

(417) 862-4541

NPI assigned

Sep 22, 2022

Organization subpart

No

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

Authorized official

Name

Dr. Brett Dawson Wyman, DDSNPI 1366599391

Title

Owner/Dentist

Phone

(417) 862-9925

Specialties & licenses 1

Addresses

Other names 1

• Midtowne Dental Center Doing business as

Locations

Practitioners 1

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

• Brett Dawson Wyman, D.D.S.

  • Dentist
  • Springfield, MO
  • NPI 1366599391
  NPD Authorized official

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

{
    "created_epoch": "1663804800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1663804800000",
    "number": "1043933252",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1614 N BENTON AVE",
            "city": "SPRINGFIELD",
            "state": "MO",
            "postal_code": "658032804",
            "telephone_number": "417-862-9925",
            "fax_number": "417-862-4541"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1614 N BENTON AVE",
            "city": "SPRINGFIELD",
            "state": "MO",
            "postal_code": "658032804",
            "telephone_number": "417-862-9925",
            "fax_number": "417-862-4541"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BRETT D WYMAN DDS PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-09-22",
        "last_updated": "2022-09-22",
        "certification_date": "2022-09-22",
        "status": "A",
        "authorized_official_last_name": "WYMAN",
        "authorized_official_first_name": "BRETT",
        "authorized_official_middle_name": "DAWSON",
        "authorized_official_title_or_position": "OWNER/DENTIST",
        "authorized_official_telephone_number": "417-862-9925",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "261QD0000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Dental",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Midtowne Dental Center",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Tricia Lynn Bremer, LPC, NCC
• Lanny Ross Brent, M.D.
• Theresa Breshears, PLPC
• Ashley N Brest, MA, LPC
• Lawrence D Brethower, SCD, BC-HIS
• Brett Durbin, DDS, LLC
• Michael Brett, DNAP
• Nancy L Breuer, PSY.D.
• Jason D Brewer, AA
• Logan Brewer

• Dental Clinic/Center in Springfield, MO
• Providers in Springfield, MO by specialty
• Dental Clinic/Center in Missouri

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 22, 2022; 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.