DR. BRANDON R WYATT DDS
NPI 1104084193
Dentist in Clyde, NC

Q: What is Brandon Wyatt's NPI number?

The NPI number for Brandon Wyatt is 1104084193. It was assigned to this individual provider in the NPPES registry on May 27, 2008.

Q: What is Brandon Wyatt's specialty?

The primary specialty registered for this NPI is Dentist with taxonomy code 122300000X.

Q: Is Brandon Wyatt enrolled in Medicare?

No. Brandon Wyatt has opted out of Medicare through January 1, 2028. Care is provided under private contracts, and Medicare does not pay for services furnished by providers who have opted out.

Q: When was this NPI record last updated?

The NPPES record for Brandon Wyatt was last updated on August 9, 2011. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 15 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.

Active since May 27, 2008Opted out of Medicare · through Jan 1, 2028

103 HAYWOOD PARK DR, CLYDE, NC 28721(828) 627-1050(828) 627-1056 Get Directions Write a Review

NPPES record last updated: August 9, 2011. Verified against the NPPES registry weekly; last sync: August 23, 2026.

On this page

About Dr. Brandon R Wyatt Dds NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

DR. BRANDON R WYATT DDS (NPI 1104084193) is an individual dentist in Clyde, North Carolina, licensed in North Carolina (8590) and active in the NPI registry since May 2008. He has opted out of Medicare through January 1, 2028.

NPPES Registry Identity

NPI1104084193

Entity TypeIndividualMale

Primary Taxonomy122300000X

Provider Legal NameDR. BRANDON R WYATTCredential: DDS

Location Address103 HAYWOOD PARK DRClyde, NC 28721-4405

Mailing Address103 Haywood Park DrClyde, NC 28721-4405 · (828) 627-1050 · Fax (828) 627-1056

Phone(828) 627-1050

Fax(828) 627-1056

Sole ProprietorNo

Enumeration DateMay 27, 2008

Last NPPES UpdateAugust 9, 2011

✔ NPI 1104084193 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDentistDental Providers

Taxonomy Code122300000X

License✔ Licensed in NC · 8590

Definition

A dentist is a person qualified by a doctorate in dental surgery (D.D.S.) or dental medicine (D.M.D.), licensed by the state to practice dentistry, and practicing within the scope of that license. There is no difference between the two degrees: dentists who have a DMD or DDS have the same education. Universities have the prerogative to determine what degree is awarded. Both degrees use the same curriculum requirements set by the American Dental Association's Commission on Dental Accreditation. Generally, three or more years of undergraduate education plus four years of dental school is required to graduate and become a general dentist. State licensing boards accept either degree as equivalent, and both degrees allow licensed individuals to practice the same scope of general dentistry. Additional post-graduate training is required to become a dental specialist.

103 HAYWOOD PARK DR, Clyde, NC 28721

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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Absolute Total Care, Ambetter of North Carolina, Ambetter of Tennessee and more.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

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Opted out of Medicare

Dr. Brandon R Wyatt Dds has filed a Medicare opt-out affidavit. Services are provided under private contract between the provider and the patient, and are not billed to or reimbursed by Medicare. The opt-out is on file from January 1, 2022 through January 1, 2028.

Opt-Out Effective DateJanuary 1, 2022

Opt-Out In Effect ThroughJanuary 1, 2028Opt-out affidavits renew automatically every two years unless cancelled

Other Providers at the Same Location NPPES 3

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

BODNAR & WYATT, PLLC

Dentist (General Practice)

103 HAYWOOD PARK DR
CLYDE, NC 28721

Haywood County (828) 627-1050

JASON BODNAR DMD

Dentist (General Practice)

103 HAYWOOD PARK DR
CLYDE, NC 28721

Haywood County (828) 627-1050

PHILIP RAY FISHER DMD, PLLC

Dentist (General Practice)

103 HAYWOOD PARK DR
CLYDE, NC 28721

Haywood County (828) 627-1050

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Brandon Wyatt's NPI number?

The NPI number for Brandon Wyatt is 1104084193. It was assigned to this individual provider in the NPPES registry on May 27, 2008.

Where is Brandon Wyatt located?

Brandon Wyatt practices at 103 Haywood Park Dr, Clyde, NC 28721. The listed phone number is (828) 627-1050.

What is Brandon Wyatt's specialty?

The primary specialty registered for this NPI is Dentist with taxonomy code 122300000X.

Is Brandon Wyatt enrolled in Medicare?

No. Brandon Wyatt has opted out of Medicare through January 1, 2028. Care is provided under private contracts, and Medicare does not pay for services furnished by providers who have opted out.

What insurance does Brandon Wyatt accept?

Health plans from Ambetter from Absolute Total Care, Ambetter of North Carolina, Ambetter of Tennessee, Anthem Blue Cross and Blue Shield and Blue Cross and Blue Shield of Montana and 4 other insurers list Brandon Wyatt as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Brandon Wyatt was last updated on August 9, 2011. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 15 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.