Taylor Delaney Wyatt, DMD MSD

Primary specialty

Orthodontics and Dentofacial Orthopedics DentistryTaxonomy code 1223X0400X

License

12558 Issued in TN

Practice address

2250 Wilma Rudolph Blvd Ste D
Clarksville, TN 37040-8453

Phone

(931) 647-7900

NPI assigned

Jun 17, 2022

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Enrolled in KY

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: No
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

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 and National Provider Directory roles.

• Smile Doctors of Tennessee, PC

  • Orthodontics and Dentofacial Orthopedics Dentistry
  • Murfreesboro, TN
  • NPI 1801321179
  NPD (past)

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

{
    "created_epoch": "1655424000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1762732800000",
    "number": "1811628282",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2250 WILMA RUDOLPH BLVD STE D",
            "city": "CLARKSVILLE",
            "state": "TN",
            "postal_code": "370408453",
            "telephone_number": "931-647-7900"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2250 WILMA RUDOLPH BLVD STE D",
            "city": "CLARKSVILLE",
            "state": "TN",
            "postal_code": "370408453",
            "telephone_number": "931-647-7900"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "3012 Business Park Cir Ste 300",
            "address_purpose": "LOCATION",
            "city": "Goodlettsville",
            "state": "TN",
            "postal_code": "370723189",
            "country_code": "US",
            "telephone_number": "615-859-2700",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "WYATT",
        "first_name": "TAYLOR",
        "middle_name": "DELANEY",
        "name_prefix": "Dr.",
        "credential": "DMD MSD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-06-17",
        "last_updated": "2025-11-10",
        "certification_date": "2025-11-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223X0400X",
            "taxonomy_group": "",
            "desc": "Dentist, Orthodontics and Dentofacial Orthopedics",
            "state": "KY",
            "license": "10792",
            "primary": false
        },
        {
            "code": "1223X0400X",
            "taxonomy_group": "",
            "desc": "Dentist, Orthodontics and Dentofacial Orthopedics",
            "state": "TN",
            "license": "12558",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Wyatt Chiropractic
• Amanda Wyatt
• Gara Wyatt, BS, RBT
• Mark Andrew Wyatt, DC
• Susannah Schrecker Wyatt
• Melissa Wylie
• Kayla R Wynn, RBT
• Adrienne Yam, LMFT
• Kimberly R Yancey, DPT
• Jaysen Alan Yarbrough, DDS

• Orthodontics and Dentofacial Orthopedics Dentistry in Clarksville, TN
• Providers in Clarksville, TN by specialty
• Orthodontics and Dentofacial Orthopedics Dentistry in Tennessee

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 10, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.