MR. KENNETH W WYMAN II (NPI# 1427222405) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1427222405 |
| Entity Type | Individual |
| Full Name | MR. KENNETH W WYMAN II |
| Practice Address |
1225 Well St Fairbanks AK 99701-2836 |
| Mailing Address |
Po Box 80299 Fairbanks AK 99708-0299 |
| Practice Telephone | 9074566850 |
| Practice Fax Number | 9074567510 |
| Mailing Telephone | 9074578739 |
| Mailing Fax Number | 9074567510 |
| Enumeration Date | 2008-04-21 |
| Last Update Date | 2008-04-21 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 122300000X | Dentist | UNKNOWN | AK | Dental Providers |
| N | 1223P0221X |
Dentist Specialization: Pediatric Dentistry |
UNKNOWN | AK | Dental Providers |
| Y | 1223S0112X |
Dentist Specialization: Oral and Maxillofacial Surgery |
UNKNOWN | AK | Dental Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1023100435 | Kenneth Wyman | Internal Medicine | 3601 Tvc, Nashville, TN 37232-0001 | 2006-09-30 |
| Street Address |
1225 WELL ST |
| City | FAIRBANKS |
| State | AK |
| Zip Code | 99701-2836 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1659984987 | Resource Center for Parents & Children, Inc. | Social Worker | 726 26th Ave, Suite #2, Fairbanks, AK 99701 | 2020-08-26 |
| 1134738982 | Aaron Paul Sarauer | Behavior Technician | 3121 Lathrop St., Fairbanks, AK 99701 | 2020-07-28 |
| 1437715505 | Fabienne Rose Marie Siddall | Case Manager/Care Coordinator | 122 1st Avenue, Fairbanks, AK 99701 | 2019-05-14 |
| 1902461957 | Jacqueline Marie Rahm | Counselor | Family Centered Services of Alaska - Rtc, 3101 Lathrop St., Fairbanks, AK 99701 | 2019-05-06 |
| 1821588989 | Corrie Wilson | Nurse Practitioner | 1025 Barnette Street, Fairbanks, AK 99701 | 2018-05-15 |
| 1922519305 | Sarishma Sangeeta Lal | Registered Nurse | 815 2nd Ave Ste 122, Fairbanks, AK 99701 | 2017-10-12 |
| 1245690569 | Christine L Simko | Naturopath | 1275 Sadler Way, Ste 100 Rm 147, Fairbanks, AK 99701 | 2016-02-29 |
| 1932581600 | Jennifer Davis | Registered Nurse | 1025 West Barnette St., Fairbanks, AK 99701 | 2015-06-18 |
| 1700272705 | John D. Zipperer Jr Md, LLC | Clinic/Center | 751 Old Richardson Hwy., Fairbanks, AK 99701 | 2015-04-07 |
| 1578957460 | Mara Justine Becker | Physician Assistant | 1717 W. Cowles St, Fairbanks, AK- ALASKA 99701 | 2015-03-27 |
| Find all providers in zip 99701 | ||||
| Taxonomy Code | 1223S0112X |
| Grouping | Dental Providers |
| Classification | Dentist |
| Specialization | Oral and Maxillofacial Surgery |
| The specialty of dentistry which includes the diagnosis, surgical and adjunctive treatment of diseases, injuries and defects involving both the functional and esthetic aspects of the hard and soft tissues of the oral and maxillofacial region. |
| Notes: Source: Council on Dental Education and Licensure, American Dental Association |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1023145026 | Sarah J Satow | Dentist | 114 Minnie St., Suite D, Fairbanks, AK 99701 | 2007-02-27 |
| 1922325943 | Richard William Hompesch IIi | Dentist | 2009 Cowles St, Fairbanks, AK 99701-5916 | 2010-04-29 |
| 1912919895 | Alaska Oral & Facial Surgery Center Inc | Dentist | 1275 Sadler Way, Suite 202, Fairbanks, AK 99701-3171 | 2006-08-12 |
| 1124030085 | Stephen H Sutley | Dentist | 1275 Sadler Way, Suite 202, Fairbanks, AK 99701-3171 | 2006-08-12 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1215446042 | Frontier Oral & Maxillofacial Surgery LLC | Dentist | 3220 Providence Dr Ste E3-080, Anchorage, AK 99508-4657 | 2017-09-25 |
| 1235679515 | Matthew A Monaco Dds,llc | Dentist | 3465 E Meridian Park Loop, Suite A, Wasilla, AK 99654-7264 | 2017-03-06 |
| 1063710994 | Fairbanks Oral Surgery, LLC | Dentist | 12810 Glen Alps Rd, Anchorage, AK 99516-6956 | 2011-03-01 |
| 1760619118 | Bradley John Szutz | Dentist | 1200 Airport Heights Dr. Suite #265, Anchorage, AK 99508 | 2009-06-12 |
| 1689810707 | Alaska Oral Surgery Group, P.C. | Dentist | 1200 Airport Heights Dr Ste 265, Anchorage, AK 99508-2988 | 2008-12-18 |
| 1174709927 | Summit Oral Surgery LLC | Dentist | 1700 E Bogard Rd Ste B202, Wasilla, AK 99654-6570 | 2008-01-10 |
| 1861549909 | Richard H. Day | Dentist | 1700 Bogard Rd Bldg B Suite 202, Wasilla, AK 99654-6563 | 2007-01-04 |
| 1194745570 | David M. Edwards | Dentist | 3330 Windlass Cir, Anchorage, AK 99516-3438 | 2006-07-20 |
| 1225058977 | Ray A. Holloway | Dentist | 111 W 16th Ave, Suite 203, Anchorage, AK 99501-6206 | 2006-07-19 |
| 1205869245 | Frederick Karl Reinbold | Dentist | 2000 Abbott Rd Ste 200, Anchorage, AK 99507-3867 | 2006-07-09 |
| Find all providers with the same taxonomy | ||||
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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.