Wyatt Dental Associates

Primary specialty

DentistTaxonomy code 122300000X

License

DN18714 Issued in FL

Legal business name

WYATT DENTAL ASSOCIATES

Doing business as

South Tampa Dentistry

Practice address

3308 S Dale Mabry Hwy
Tampa, FL 33629-7818

Phone

(813) 830-0090

Fax

(813) 835-0638

NPI assigned

Oct 14, 2013

Organization subpart

No

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

Authorized official

Name

Dr. Joshua A Wyatt, DMDNPI 1497982912

Title

President/Owner

Phone

(850) 501-5860

Specialties & licenses 1

Addresses

Other names 1

• South Tampa Dentistry Doing business as

Locations

Practitioners 2

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

• Joshua A Wyatt, DMD

  • Dentist
  • Tampa, FL
  • NPI 1497982912
  NPD (past) Authorized official
• John Anthony Mason, DMD

  • General Practice Dentistry
  • Tampa, FL
  • NPI 1851370456
  NPD (past)

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

{
    "created_epoch": "1381708800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1381708800000",
    "number": "1881022614",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3308 S DALE MABRY HWY",
            "city": "TAMPA",
            "state": "FL",
            "postal_code": "336297818",
            "telephone_number": "813-830-0090",
            "fax_number": "813-835-0638"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3308 S DALE MABRY HWY",
            "city": "TAMPA",
            "state": "FL",
            "postal_code": "336297818",
            "telephone_number": "813-830-0090",
            "fax_number": "813-835-0638"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WYATT DENTAL ASSOCIATES",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-10-14",
        "last_updated": "2013-10-14",
        "status": "A",
        "authorized_official_last_name": "WYATT",
        "authorized_official_first_name": "JOSHUA",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "PRESIDENT/OWNER",
        "authorized_official_telephone_number": "850-501-5860",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DMD"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist",
            "state": "FL",
            "license": "DN18714",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "South Tampa Dentistry",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Louise Johnson Wunsch, LOUISE WUNSCH, MD
• Amber Wuorio
• Michael Wusik, PHD
• Kyle Alexander Wuthrich, DO
• William Austin Wyant, MD, MSC
• Clayton Wyatt
• Delicia Wyatt
• Joshua A Wyatt, DMD
• Larry A Wyatt, PA-C
• Margaret Helen Wyatt, ARNP-C

• Dentist in Tampa, FL
• Providers in Tampa, FL by specialty
• Dentist in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 14, 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.