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Dr. Todd Samuel Wyse, DDS
General Practice Dentistry in Goshen, Indiana
NPI 1336264423

Todd Samuel Wyse is a General Practice Dentistry based in Goshen, IN and is specialized in General Practice. Todd Samuel Wyse practices in Goshen, IN and has the professional credentials of DDS. The NPI Number for Todd Samuel Wyse is 1336264423 and holds a License No. 12008834 (Indiana).

The current practice location address for Todd Samuel Wyse is 57250 Alpha Dr, Goshen, IN and can be reached out via phone at 574-875-3817 and via fax at 574-875-3984.

Location: 57250 Alpha Dr, Goshen, IN, 46528-7804
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1336264423
Provider Name
Todd Samuel Wyse
Credential
DDS
Provider Entity Type
Individual
Gender
Male
Address
57250 Alpha Dr, Goshen, IN, 46528-7804
Phone Number
574-875-3817
Fax Number
574-875-3984
Provider Enumeration Date
03/20/2007
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
57250 Alpha Dr
City
Goshen
State
Indiana
Zip
46528-7804
Phone Number
574-875-3817
Fax Number
574-875-3984
person
Provider Business Mailing Address Details
Address
57250 Alpha Dr
City
Goshen
State
Indiana
Zip
46528-7804
Phone Number
574-875-3817
Fax Number
574-875-3984
person
Provider's Taxonomy Details 1
Type
Dental Providers
Classification
Dentist
Speciality
General Practice
Taxonomy
1223G0001X
License No.
12008834 (Indiana)
Definition
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.
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