Robert Gerard Wylie, DDS

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

034292 Issued in NY

Practice address

182 E 1St St
Corning, NY 14830-2816

Phone

(607) 936-6464

Fax

(607) 936-4559

NPI assigned

Nov 17, 2006

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 2

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1163721600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1678147200000",
    "number": "1336213057",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "182 E 1ST ST",
            "city": "CORNING",
            "state": "NY",
            "postal_code": "148302816",
            "telephone_number": "607-936-6464",
            "fax_number": "607-936-4559"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "182 E 1ST ST",
            "city": "CORNING",
            "state": "NY",
            "postal_code": "148302816",
            "telephone_number": "607-936-6464",
            "fax_number": "607-936-4559"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WYLIE",
        "first_name": "ROBERT",
        "middle_name": "GERARD",
        "name_prefix": "Dr.",
        "credential": "DDS",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-11-17",
        "last_updated": "2023-03-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "NY",
            "license": "034292",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "STATE LIC#",
            "identifier": "034292",
            "state": "NY"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00381815",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Donna Jo Wood, LMSW
• Loriann Wood
• Roberta L Wood, N.P.
• Andrea Denise Worley, M.D.
• Wright Choice Chiropractic PLLC
• Jason Yi, MD
• Winona Yin
• Hannah Yoon, M.D.
• Patricia Anne Youngs, AGNP-C
• Jasvantsinh J. Zala, MD

• General Practice Dentistry in Corning, NY
• Providers in Corning, NY by specialty
• General Practice Dentistry in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 7, 2023; 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.