SearchIdaho1223G0001X

Don Wyatt, DDS

NPI 1841494119 · on the registry since 2007

Practice

Address
138 Country Ln Ste 1
Jerome, ID 83338
Phone
(208) 324-8861
Fax
(208) 324-8899

Additional practice sites

  • 529 Broadway Ave S, Buhl, ID

Registry record

Primary taxonomy
1223G0001X
1223G0001X
Also registered as
1223G0001X
Licence states on file
ID
From the registry's licence fields, which are often incomplete.
Sex
Male
Record last updated
2024-09-18

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Idaho