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DR. GRAYDON DOUGLAS WYATT DDS
NPI 1144740481
Dentist - General Practice in Fort Worth, TX

Active since June 27, 2017
2750 HORNE STREET, #120, FORT WORTH, TX 76107(817) 310-2024 Get Directions Write a Review

NPPES record last updated: June 27, 2017. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Dr. Graydon Douglas Wyatt Dds NPPES

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

DR. GRAYDON DOUGLAS WYATT DDS (NPI 1144740481) is an individual general practice provider in Fort Worth, Texas, licensed in Texas (33073) and active in the NPI registry since June 2017.

NPPES Registry Identity

NPI1144740481
Entity TypeIndividualMale
Primary Taxonomy1223G0001X
Provider Legal NameDR. GRAYDON DOUGLAS WYATTCredential: DDS
Location Address2750 HORNE STREET, #120Fort Worth, TX 76107
Mailing Address5828 Arborlawn Dr Apt 1248Fort Worth, TX 76109-3255
Phone(817) 310-2024
Sole ProprietorYes
Enumeration DateJune 27, 2017
✔ NPI 1144740481 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDentist · General PracticeDental Providers
Taxonomy Code1223G0001X
License✔ Licensed in TX · 33073
Definition
A general dentist is the primary dental care provider for patients of all ages. The general dentist is responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs.
2750 HORNE STREET, Fort Worth, TX 76107
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Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X MULTIPLE SINGLE SPECIALTY GROUP

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Anthem Blue Cross and Blue Shield, BEST Life, Blue Cross and Blue Shield of Montana and more.Insurance ›

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 Graydon Wyatt's NPI number?

The NPI number for Graydon Wyatt is 1144740481. It was assigned to this individual provider in the NPPES registry on June 27, 2017.

Where is Graydon Wyatt located?

Graydon Wyatt practices at 2750 Horne Street #120, Fort Worth, TX 76107. The listed phone number is (817) 310-2024.

What is Graydon Wyatt's specialty?

The primary specialty registered for this NPI is Dentist, specializing in General Practice, with taxonomy code 1223G0001X.

What insurance does Graydon Wyatt accept?

Health plans from Anthem Blue Cross and Blue Shield, BEST Life, Blue Cross Blue Shield of Arizona, Blue Cross and Blue Shield of Montana and Blue Cross and Blue Shield of Oklahoma and 7 other insurers list Graydon 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 Graydon Wyatt was last updated on June 27, 2017. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 9 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.