Bruce Kevin Wyles, DDS

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

2607 Issued in SC

Practice address

134 D Ladys Island Drive
Beaufort, SC 29907

Phone

(843) 838-1431

Fax

(843) 522-9931

NPI assigned

Jul 17, 2006

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

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1153094400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1378339200000",
    "number": "1881612810",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "134 D LADYS ISLAND DRIVE",
            "city": "BEAUFORT",
            "state": "SC",
            "postal_code": "29907",
            "telephone_number": "843-838-1431",
            "fax_number": "843-522-9931"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "134 D LADYS ISLAND DRIVE",
            "city": "BEAUFORT",
            "state": "SC",
            "postal_code": "29907",
            "telephone_number": "843-838-1431",
            "fax_number": "843-522-9931"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WYLES",
        "first_name": "BRUCE",
        "middle_name": "KEVIN",
        "name_prefix": "Dr.",
        "credential": "DDS",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-07-17",
        "last_updated": "2013-09-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "SC",
            "license": "2607",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Wright Choice Diagnosis Center
• Angela Wright, LPCA
• Erika Lynne Wright, RN-BSN
• Keetra Wright, RBT
• William Frank Wright, DDS
• Tracey Alexander Yazvac, BSN, RN
• David Yi, DMD
• Janice York, MA
• Stephanie Youmans, PHARMD
• Jonathan Zachariah Young, PA-C

• General Practice Dentistry in Beaufort, SC
• Providers in Beaufort, SC by specialty
• General Practice Dentistry in South Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 5, 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.