DR. ROBERT GERARD WYLIE (NPI# 1336213057) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1336213057 |
| Entity Type | Individual |
| Full Name | DR. ROBERT GERARD WYLIE |
| Credential | DDS |
| Practice Address |
182 E 1st St Corning NY 14830-2816 |
| Practice Telephone | 6079366464 |
| Practice Fax Number | 6079364559 |
| Mailing Telephone | 6079366464 |
| Mailing Fax Number | 6079364559 |
| Enumeration Date | 2006-11-17 |
| Last Update Date | 2007-07-08 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 1223G0001X |
Dentist Specialization: General Practice |
034292 | NY | Dental Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| NY | STATE LIC# | 034292 | 01 |
| NY | DEA# | AW8853562 | 01 |
| NY | 00381815 | 05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1609177179 | Robert William Wylie | Hearing Instrument Specialist | 100 Larosa Rd, Ste D, Long Beach, MS 39560 | 2010-11-15 |
| 1568511434 | Robert T Wylie | Dentist | 88 Niagara St, Suite 3a, Tonawanda, NY 14150 | 2007-01-09 |
| 1003935974 | Robert Steven Wylie | Dentist | 8540 S Sepulveda Blvd, Suite 1211, Los Angeles, CA 90045-3807 | 2007-03-29 |
| 1114063773 | Robert Keels Wylie | Pharmacist | 121 Church St, Chester, SC 29706-2903 | 2007-01-30 |
| 1568436871 | Robert J Wylie | Orthopaedic Surgery | 200 West Hospital Drive, Whiteriver, AZ 85941-0860 | 2006-02-14 |
| Street Address |
182 E 1ST ST |
| City | CORNING |
| State | NY |
| Zip Code | 14830-2816 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1295358836 | Shehla Javed | Registered Nurse | 3 Corning Dr, Corning, NY 14830 | 2020-05-18 |
| 1285993246 | Karen Adams | Physical Therapy Assistant | 205 E. First, Corning, NY 14830 | 2012-05-11 |
| 1275802464 | Anne Bethany Stefanini | Registered Nurse | 36 Mcmahon Avenue, Corning, NY 14830 | 2011-12-19 |
| 1548538119 | Elizabeth Ruth Costello | Registered Nurse | 11 West Third Street, Corning Free Academy, Corning, NY 14830 | 2011-12-09 |
| 1760769418 | Elizabeth Regina Feulner | Registered Nurse | 143 Princton Ave, Northside Blodgett Middle School, Corning, NY 14830 | 2011-11-09 |
| 1073823423 | Joyce Berliner | Occupational Therapist | 33 Denison Parkway West, Corning, NY 14830 | 2010-10-19 |
| 1285880625 | Angie L. Degraff-dacey | Licensed Practical Nurse | 160 Florentia Ln E, Corning, NY 14830 | 2008-08-18 |
| 1003098393 | Marcia Louise Ritter | Pharmacist | 601 West Pulteney Street, Corning, NY 14830 | 2007-11-29 |
| 1023203247 | Suzan S Fenstermacher | Physician Assistant | 88 Tioga Ave., Suite 102, Corning, NY 14830 | 2007-09-11 |
| 1205047313 | Katherine Ann Colyer | Physical Therapist | 11849 East Corning Rd, Suite 108, Corning, NY 14830 | 2007-05-24 |
| Find all providers in zip 14830 | ||||
| Taxonomy Code | 1223G0001X |
| Grouping | Dental Providers |
| Classification | Dentist |
| Specialization | General Practice |
| A general dentist is the primary dental care provider for patients of all ages. The general dentist is responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs. |
| Notes: Source: Academy of General Dentistry |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1528398815 | Dennis Vargas | Dentist | 218 Denison Pkwy E Ste 1, Corning, NY 14830-2813 | 2010-01-08 |
| 1861690984 | John Wallace Gunselman | Dentist | 218 Denison Pkwy E, Suite 201, Corning, NY 14830-2813 | 2007-07-10 |
| 1720283757 | Maria Del Rosario Reyna Fuller | Dentist | 2244 Loomis Ave, Corning, IA 50841 | 2007-06-19 |
| 1275659856 | Dario Abramo Sartori | Dentist | 480 Solano St, Corning, CA 96021-3433 | 2007-03-22 |
| 1700930880 | Richard Bond Dunbar | Dentist | 1904 Solano St, Corning, CA 96021-2831 | 2007-01-23 |
| 1902954324 | Donald Richard Dolan Jr. | Dentist | 169 E 2nd St, Corning, NY 14830-2836 | 2007-01-08 |
| 1215012109 | John T King | Dentist | 504 8th Street, Corning, IA 50841-1404 | 2006-10-26 |
| 1114013067 | Billy Dale Russom | Dentist | 211 Hospital Dr, Corning, AR 72422-7259 | 2006-10-05 |
| 1083714695 | John Kevin Sementilli | Dentist | 92 E 1st St, Corning, NY 14830-2714 | 2006-09-24 |
| 1710995766 | John David Richardson II | Dentist | 421 Sw 2nd St, Corning, AR 72422-2708 | 2006-08-04 |
| Find all providers in CORNING | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.