JEANNINE E WYKE D. M. D. - NPI 1861557225

Q: What is the provider's specialty?

The provider's specialty is Dentist with taxonomy code 1223P0221X and a focus in Pediatric Dentistry.

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About Jeannine E Wyke D. M. D. NPPES

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

JEANNINE E WYKE D. M. D. (NPI 1861557225) is an individual pediatric dentistry provider in Bethlehem, Pennsylvania, licensed in Pennsylvania (DS030557-L) and active in the NPI registry since December 2006.

NPPES Registry Identity

NPI1861557225

Entity TypeIndividualFemale

Primary Taxonomy1223P0221X

Provider Legal NameJEANNINE E WYKECredential: D. M. D.

Location Address701 W UNION BLVD, SUITE 5Bethlehem, PA 18018-3700

Mailing Address701 W Union Blvd, Suite 5Bethlehem, PA 18018-3700 · (610) 867-1511 · Fax (610) 867-7223

Phone(610) 867-1511

Fax(610) 867-7223

Sole ProprietorNo

Enumeration DateDecember 26, 2006

Last NPPES UpdateJuly 8, 2007

✔ NPI 1861557225 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDentist · Pediatric DentistryDental Providers

Taxonomy Code1223P0221X

License✔ Licensed in PA · DS030557-L

Definition

An age-defined specialty that provides both primary and comprehensive preventive and therapeutic oral health care for infants and children through adolescence, including those with special health care needs.

701 W UNION BLVD, Bethlehem, PA 18018

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