MEDICARE: WYATT DENTAL ASSOCIATES

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	122300000X	Dentist	DN18714	FL

General Provider Information

NPI Number	:	1881022614
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	WYATT DENTAL ASSOCIATES

Provider Business Mailing Address
First Line	:	3308 S DALE MABRY HWY
Second Line	:
City	:	TAMPA
State	:	FL
Zip	:	33629-7818
Country	:	US
Telephone Number	:	813-830-0090
Fax Number	:	813-835-0638

Provider Business Practice Location Address
First Line	:	3308 S DALE MABRY HWY
Second Line	:
City	:	TAMPA
State	:	FL
Zip	:	33629-7818
Country	:	US
Telephone Number	:	813-830-0090
Fax Number	:	813-835-0638

Authorized Official
Title or Position	:	PRESIDENT/OWNER
Name	:	DR. JOSHUA A WYATT
Credential	:	DMD
Telephone Number	:	850-501-5860

Provider Enumeration Date	:	10/14/2013
Last Update Date	:	10/14/2013

Similar Medicare Providers

1851370456 — JOHN ANTHONY MASON DMD
Practice Location Address:

3308 S DALE MABRY HWY
TAMPA, FL
33629-7818

Practice Phone: 813-835-0090
Practice Fax: 813-835-0638

1497982912 — DR. JOSHUA A WYATT DMD
Practice Location Address:

3308 S DALE MABRY HWY
TAMPA, FL
33629-7818

Practice Phone: 813-835-0090
Practice Fax:

1649145582 — COMFORTABLE CARE DENTAL HEALTH PROFESSIONALS, P.A.
Practice Location Address:

3308 S DALE MABRY HWY
TAMPA, FL
33629-7818

Practice Phone: 813-835-0090
Practice Fax:

1245461466 — MRS. LAURA JEAN WILLIAMS ARNP-BC
Practice Location Address:

2525 BAYSHORE BLVD
TAMPA, FL
33629-7316

Practice Phone: 813-610-2634
Practice Fax:

1366305963 — STAR RADIOLOGY, LLC
Practice Location Address:

5102 W HOMER AVE
TAMPA, FL
33629-7523

Practice Phone: 813-609-2579
Practice Fax:

1265927024 — DR. ASHLEY CHAPPEL DIEHL PH.D.
Practice Location Address:

3701 W TACON ST
TAMPA, FL
33629-6943

Practice Phone: 813-444-2704
Practice Fax:

Directions to “WYATT DENTAL ASSOCIATES ” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2025 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.