MR. BRADLEY D WYATT (NPI# 1841604832) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1841604832 |
| Entity Type | Individual |
| Full Name | MR. BRADLEY D WYATT |
| Credential | DMD |
| Practice Address |
701 Indian Trl Ste C Harker Heights TX 76548-3054 |
| Practice Telephone | 2546980641 |
| Practice Fax Number | 2546980644 |
| Mailing Telephone | 2546980641 |
| Mailing Fax Number | 2546980644 |
| Enumeration Date | 2014-06-17 |
| Last Update Date | 2017-09-07 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 1223P0221X |
Dentist Specialization: Pediatric Dentistry |
32874 | TX | Dental Providers |
| Street Address |
701 INDIAN TRL STE C |
| City | HARKER HEIGHTS |
| State | TX |
| Zip Code | 76548-3054 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1871104109 | Bryan C Sigoloff | Pharmacist | 601 Indian Trail Dr., Harker Heights, TX 76548 | 2020-08-11 |
| 1558903377 | Rebecca Jean Droge | Behavior Technician | 904 Mountain Lion Circle Ste 500, Harker Heights, TX 76548 | 2019-10-14 |
| 1750939252 | Dianne Scott | Licensed Vocational Nurse | 611 B Pima, Harker Heights, TX 76548 | 2019-08-28 |
| 1972084853 | Lorrie Miller Price | Licensed Vocational Nurse | 306 Live Oak Dr, Harker Heights, TX 76548 | 2018-08-28 |
| 1740761592 | Thomas Wesley Newton | Physical Therapy Assistant | 1415 Indian Oaks Drive, Harker Heights, TX 76548 | 2018-08-28 |
| 1821575812 | Amber Cepeda | Counselor | 1420 Loblolly Dr, Harker Heights, TX 76548 | 2018-07-23 |
| 1609385913 | Harker Heights Periodontics Pa | Dentist | 410 E. Central Texas Expwy, Harker Heights, TX 76548 | 2017-09-29 |
| 1821512757 | Muwanguzi K Pllc | Dentist | 980 Knight's Way, Harker Heights, TX 76548 | 2017-08-02 |
| 1477915957 | Constance Elaine King | Nurse Practitioner | 850 W Central Expy, Harker Heights, TX 76548 | 2016-03-24 |
| 1861869588 | Jenalee Schwab | Pharmacist | 201 E Central Expy, Suite 300, Harker Heights, TX 76548 | 2015-08-28 |
| Find all providers in zip 76548 | ||||
| Taxonomy Code | 1223P0221X |
| Grouping | Dental Providers |
| Classification | Dentist |
| Specialization | Pediatric Dentistry |
| An age-defined specialty that provides both primary and comprehensive preventive and therapeutic oral health care for infants and children through adolescence, including those with special health care needs. |
| Notes: Source: Council on Dental Education and Licensure, American Dental Association |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1326145467 | James Thomas Shoptaw | Dentist | 120 W Central Texas Expy Ste 200, Harker Heights, TX 76548-7406 | 2006-09-20 |
| 1174910087 | Killeen Pediatric Dentistry Pllc | Dentist | 120 W Central Texas Expy, Suite 200, Harker Heights, TX 76548-6600 | 2015-04-17 |
| 1841557105 | Heaton Pediatrics, Pllc | Dentist | 701 Indian Trl, Suite C, Harker Heights, TX 76548-2153 | 2012-04-11 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1326647454 | Memorial Dentistry for Kids Pllc | Dentist | 14090 Memorial Dr, Houston, TX 77079-6848 | 2020-10-20 |
| 1497362651 | Munal Dental Pllc | Dentist | 2921 N Fm 1417 Ste 100, Sherman, TX 75092-3559 | 2020-09-30 |
| 1467069880 | Unique Kids Pediatric Dentistry, Pllc | Dentist | 22118 Market Place Dr Ste 500, New Caney, TX 77357-2165 | 2020-09-29 |
| 1104438092 | Sarah Al Kukash | Dentist | 2536 Amherst St Ste A, Houston, TX 77005-3207 | 2020-08-20 |
| 1295344679 | Bulverde Dental Specialist Pllc | Dentist | 22103 Bulverde Rd Ste 108, San Antonio, TX 78259-1855 | 2020-07-30 |
| 1174132559 | Previcare, Pllc | Dentist | 2006 W Campbell Rd Ste 300, Garland, TX 75044-2315 | 2020-07-30 |
| 1386252088 | Saba Saleem Tareen | Dentist | 1503 Royal Ln, Colleyville, TX 76034-5585 | 2020-07-19 |
| 1306454178 | Susan Roberts Pediatric Dentistry Pllc | Dentist | 5411 Basswood Blvd Ste 201, Fort Worth, TX 76137-4479 | 2020-07-17 |
| 1316564990 | Ikids Pediatric Dentistry Lakewood, Pllc | Dentist | 2011 Abrams Parkway, Dallas, TX 75214 | 2020-06-30 |
| 1316563497 | Woodlands Pediatric Dentistry PC | Dentist | 4850 W Panther Creek Dr Ste 102, The Woodlands, TX 77381-3595 | 2020-06-24 |
| Find all providers with the same taxonomy | ||||
| City | HARKER HEIGHTS |
| Zip Code | 76548 |
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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.