Healthcare Provider Details

I. General information

NPI: 1568397362
Provider Name (Legal Business Name): BAILEY LAUREN DENLER WYATT DDS
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 06/15/2026
Last Update Date: 06/15/2026
Certification Date: 06/15/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

385 S COLUMBIA ST
CHAPEL HILL NC
27514-4309
US

IV. Provider business mailing address

2100 GLADSTONE TER
THE VILLAGE OK
73120-3804
US

V. Phone/Fax

Practice location:
  • Phone: 919-537-3737
  • Fax:
Mailing address:
  • Phone: 918-810-9882
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code122300000X
TaxonomyDentist
License Number8227
License Number StateOK

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: