Julianne M Wyman DDS, Ms, LLC

Primary specialty

Orthodontics and Dentofacial Orthopedics DentistryTaxonomy code 1223X0400X

License

12279 Issued in MD

Legal business name

JULIANNE M WYMAN DDS, MS, LLC

Practice address

236 S Bridge St
Elkton, MD 21921-5915

Phone

(410) 398-1221

Fax

(410) 398-9970

NPI assigned

May 28, 2013

Organization subpart

No

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

Authorized official

Name

Dr. Julianne M Wyman, DDS, MS

Title

Owner/ President

Phone

(410) 398-1221

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1369699200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1369699200000",
    "number": "1801233184",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "236 S BRIDGE ST",
            "city": "ELKTON",
            "state": "MD",
            "postal_code": "219215915",
            "telephone_number": "410-398-1221",
            "fax_number": "410-398-9970"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "236 S BRIDGE ST",
            "city": "ELKTON",
            "state": "MD",
            "postal_code": "219215915",
            "telephone_number": "410-398-1221",
            "fax_number": "410-398-9970"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JULIANNE M WYMAN DDS, MS, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-05-28",
        "last_updated": "2013-05-28",
        "status": "A",
        "authorized_official_last_name": "WYMAN",
        "authorized_official_first_name": "JULIANNE",
        "authorized_official_middle_name": "M",
        "authorized_official_title_or_position": "OWNER/ PRESIDENT",
        "authorized_official_telephone_number": "410-398-1221",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS, MS"
    },
    "taxonomies": [
        {
            "code": "1223X0400X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, Orthodontics and Dentofacial Orthopedics",
            "state": "MD",
            "license": "12279",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 28, 2013; 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.