1. Home
  2. Directory
  3. Illinois
  4. Bloomington
  5. Dentist
  6. NPI Profile

DR. DAVID DOUGLAS WYSE D.D.S.
NPI 1669506234
Dentist - General Practice in Bloomington, IL

Active since March 15, 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: July 8, 2007. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Dr. David Douglas Wyse D.d.s. NPPES

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

DR. DAVID DOUGLAS WYSE D.D.S. (NPI 1669506234) is an individual general practice provider in Bloomington, Illinois and active in the NPI registry since March 2007.

NPPES Registry Identity

NPI1669506234
Entity TypeIndividualMale
Primary Taxonomy1223G0001X
Provider Legal NameDR. DAVID DOUGLAS WYSECredential: D.D.S.
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
Sole ProprietorNo
Enumeration DateMarch 15, 2007
Last NPPES UpdateJuly 8, 2007
✔ NPI 1669506234 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDentist · General PracticeDental Providers
Taxonomy Code1223G0001X
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.
207 S PROSPECT RD, Bloomington, IL 61704
Open in Google Maps ↗

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.

DAVID D. WYSE, D.D.S., P.C.
Clinic/Center (Dental)
207 S PROSPECT RD, STE. 2
BLOOMINGTON, IL 61704
McLean County (309) 663-6393
DR. JAY WESLEY CHRISMAN 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 Wyse's NPI number?

The NPI number for David Wyse is 1669506234. It was assigned to this individual provider in the NPPES registry on March 15, 2007.

Where is David Wyse located?

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

What is David Wyse's specialty?

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

When was this NPI record last updated?

The NPPES record for David Wyse was last updated on July 8, 2007. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 19 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.