DAVID D. WYSE, D.D.S., P.C.
NPI 1124143896
Clinic/Center - Dental in Bloomington, IL

Q: What is David D. Wyse, D.D.S., P.C.'s NPI number?

The NPI number for David D. Wyse, D.D.S., P.C. is 1124143896. It was assigned to this organization in the NPPES registry on March 20, 2007.

Q: What is David D. Wyse, D.D.S., P.C.'s specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in Dental, with taxonomy code 261QD0000X.

Active since March 20, 2007

207 S PROSPECT RD, STE. 2, BLOOMINGTON, IL 61704(309) 663-6393(309) 664-0366 Get Directions Write a Review

NPPES record last updated: October 3, 2013. Verified against the NPPES registry weekly; last sync: August 09, 2026.

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About David D. Wyse, D.d.s., P.c. NPPES

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

DAVID D. WYSE, D.D.S., P.C. (NPI 1124143896) is a healthcare organization registered as a dental in Bloomington, Illinois and active in the NPI registry since March 2007. The organization lists David D. Wyse, Owner, as its authorized official.

NPPES Registry Identity

NPI1124143896

Entity TypeOrganization

Primary Taxonomy261QD0000X

Legal Business NameDAVID D. WYSE, D.D.S., P.C.

Location Address207 S PROSPECT RD, STE. 2Bloomington, IL 61704-4905

Mailing Address207 S Prospect Rd, Ste. 2Bloomington, IL 61704-4905 · (309) 663-6393 · Fax (309) 664-0366

Phone(309) 663-6393

Fax(309) 664-0366

Organization SubpartNo

Authorized OfficialDavid D. WyseOwner · (309) 663-6393

Enumeration DateMarch 20, 2007

Last NPPES UpdateOctober 3, 2013

✔ NPI 1124143896 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyClinic/Center · DentalAmbulatory Health Care Facilities

Taxonomy Code261QD0000X

License✔ Licensed in IL · 060001892

207 S PROSPECT RD, Bloomington, IL 61704

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Other Providers at the Same Location NPPES 2

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

DR. JAY WESLEY CHRISMAN D.D.S.

Dentist (General Practice)

207 S PROSPECT RD, STE. 2
BLOOMINGTON, IL 61704

McLean County (309) 663-6393

DR. DAVID DOUGLAS WYSE D.D.S.

Dentist (General Practice)

207 S PROSPECT RD, STE. 2
BLOOMINGTON, IL 61704

McLean County (309) 663-6393

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 David D. Wyse, D.D.S., P.C.'s NPI number?

The NPI number for David D. Wyse, D.D.S., P.C. is 1124143896. It was assigned to this organization in the NPPES registry on March 20, 2007.

Where is David D. Wyse, D.D.S., P.C. located?

David D. Wyse, D.D.S., P.C. is located at 207 S Prospect Rd Ste. 2, Bloomington, IL 61704. The listed phone number is (309) 663-6393.

What is David D. Wyse, D.D.S., P.C.'s specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in Dental, with taxonomy code 261QD0000X.

When was this NPI record last updated?

The NPPES record for David D. Wyse, D.D.S., P.C. was last updated on October 3, 2013. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 12 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.