NPI Code Details Logo

NPI 1568397362

NPI 1568397362 : BAILEY LAUREN DENLER WYATT DDS : CHAPEL HILL, NC

=====================================================
General NPI Number Information
=====================================================
    NPI Number           |    1568397362
-----------------------------------------------------
    Entity Type          |    Individual 
-----------------------------------------------------
    Provider Name        |    BAILEY LAUREN DENLER WYATT DDS
-----------------------------------------------------
    Gender               |    Female 
-----------------------------------------------------

=====================================================
Dates
=====================================================
    Enumeration Date     |    06/15/2026
-----------------------------------------------------
    Last Update Date     |    06/15/2026
-----------------------------------------------------

=====================================================
Provider Practice Location Address
=====================================================
    Address Line         |    385 S COLUMBIA ST 
-----------------------------------------------------
    City                 |    CHAPEL HILL
-----------------------------------------------------
    State                |    NC
-----------------------------------------------------
    Zip                  |    27514-4309
-----------------------------------------------------
    Country              |    US
-----------------------------------------------------
    Telephone            |    919-537-3737
-----------------------------------------------------
    Fax                  |    
-----------------------------------------------------

=====================================================
Provider Business Mailing Address
=====================================================
    Address Line         |    2100 GLADSTONE TER 
-----------------------------------------------------
    City                 |    THE VILLAGE
-----------------------------------------------------
    State                |    OK
-----------------------------------------------------
    Zip                  |    73120-3804
-----------------------------------------------------
    Country              |    US
-----------------------------------------------------
    Telephone            |    918-810-9882
-----------------------------------------------------
    Fax                  |    
-----------------------------------------------------

=====================================================
Authorized Official
=====================================================
    Title or Position    |    
-----------------------------------------------------
    Name                 |        
-----------------------------------------------------
    Credential           |    
-----------------------------------------------------
    Telephone            |    
-----------------------------------------------------

=====================================================
Scope of Practice (Provider's specialty)
=====================================================
Taxonomy #1
-----------------------------------------------------
    Taxonomy Code        |    122300000X
-----------------------------------------------------
    Taxonomy Name        |    Dentist
-----------------------------------------------------
    License Number       |    8227
-----------------------------------------------------
    License Number State |    OK
-----------------------------------------------------



                        

Copyright © 2007-2026 Data Labs Health. All rights reserved.