Kent H. Wyatt, D.D.S., P.C.

Primary specialty

EndodonticsTaxonomy code 1223E0200X

License

D5837 Issued in AZ

Legal business name

KENT H. WYATT, D.D.S., P.C.

Practice address

512 E Whitehouse Canyon Rd
Suite 120
Green Valley, AZ 85614-0500

Phone

(520) 625-6167

Fax

(520) 625-6169

NPI assigned

Mar 24, 2006

Organization subpart

No

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

Authorized official

Name

Dr. Kent H. Wyatt, D.D.S.NPI 1629264957

Title

President

Phone

(520) 625-6167

Specialties & licenses 1

Addresses

Practitioners 2

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

• Kent H Wyatt, DDS

  • Endodontics
  • Green Valley, AZ
  • NPI 1629264957
  NPD (past) Authorized official
• Barney D Streit, D.D.S

  • Endodontics
  • Green Valley, AZ
  • NPI 1790838308
  NPD (past)

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

{
    "created_epoch": "1143158400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1396705109",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "512 E WHITEHOUSE CANYON RD",
            "address_2": "SUITE 120",
            "city": "GREEN VALLEY",
            "state": "AZ",
            "postal_code": "856140500",
            "telephone_number": "520-625-6167",
            "fax_number": "520-625-6169"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "512 E WHITEHOUSE CANYON RD",
            "address_2": "SUITE 120",
            "city": "GREEN VALLEY",
            "state": "AZ",
            "postal_code": "856140500",
            "telephone_number": "520-625-6167",
            "fax_number": "520-625-6169"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KENT H. WYATT, D.D.S., P.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-03-24",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "WYATT",
        "authorized_official_first_name": "KENT",
        "authorized_official_middle_name": "H.",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "520-625-6167",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.D.S."
    },
    "taxonomies": [
        {
            "code": "1223E0200X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, Endodontics",
            "state": "AZ",
            "license": "D5837",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Cheyann Marie Kanavel, LMT
• William Francis Kazantzis, PHARMD
• John J Kelly, MD
• Stephanie Lynn Kelly, NP-C
• Ruth Catherine Kenrick, M.A., L.I. C.S.W.
• Rossa Khalaf, MD
• Matthew Khumalo, MD
• Dawnie Kildoo, DDS
• Gayle W King, D.C.
• Lisa Dawn King, MPT

• Endodontics in Green Valley, AZ
• Providers in Green Valley, AZ by specialty
• Endodontics in Arizona

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.