Eric Davis Denler Wyatt, DDS

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

7897 Issued in OK

Practice address

1605 E 1St St
Chandler, OK 74834

Phone

(405) 328-7062

NPI assigned

Jul 1, 2024

Last updated

Jul 1, 2024By the provider in NPPES

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Electronic endpoints 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Chandler Dental PLLC

  • Dental Clinic/Center
  • Chandler, OK
  • NPI 1760236327
  NPD (past)

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

{
    "created_epoch": "1719792000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1719792000000",
    "number": "1750126777",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2708 CLERMONT PL",
            "city": "OKLAHOMA CITY",
            "state": "OK",
            "postal_code": "731164205",
            "telephone_number": "918-810-9686"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1605 E 1ST ST",
            "city": "CHANDLER",
            "state": "OK",
            "postal_code": "74834",
            "telephone_number": "405-328-7062"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "14310 Market Blvd",
            "address_purpose": "LOCATION",
            "city": "Choctaw",
            "state": "OK",
            "postal_code": "73020",
            "country_code": "US",
            "telephone_number": "405-281-5800",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "WYATT",
        "first_name": "ERIC",
        "middle_name": "DAVIS DENLER",
        "credential": "DDS",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2024-07-01",
        "last_updated": "2024-07-01",
        "certification_date": "2024-04-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "OK",
            "license": "7897",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "Location",
            "affiliation": "Y",
            "endpointDescription": "Website",
            "affiliationName": "Chandler Dental",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "1605 E 1st St",
            "city": "Chandler",
            "state": "OK",
            "country_code": "US",
            "postal_code": "74834",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Daniel Joseph Wilguess, DDS
• Brandy Nicole Wilson, BS, BHRS
• Janena Grace Wilson, FNP
• Samantha Wilson, BCHHP
• Douglas Woods, PHARMD
• Juan York
• Margaret Lee Zingman, PH. D.

• General Practice Dentistry in Chandler, OK
• Providers in Chandler, OK by specialty
• General Practice Dentistry in Oklahoma

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 1, 2024; 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.