IndividualActive
Vicki Wyan, DMD
NPI 1124086061 · Dentist · Fort Wainwright, AK
Provider details
- NPI number
- 1124086061
- Entity type
- Individual
- Primary specialty
- DentistDental Providers
- Credential
- DMD
- Sex
- Female
- Sole proprietor
- No
- License
- DI 014669 (NJ)
Specialties & taxonomies
Dental Providers
Profile Score
Detailed profile(91/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
20 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
1060 Gaffney Road 7500
USA Dentac Alaska Ft Wainwright
Fort Wainwright, AK 99703-7500
Phone: (907) 361-5530
Fax: (907) 361-4859
Street-level locationGet directions
Mailing address
1060 Gaffney Road 7500
Fort Wainwright, AK 99703-7500
Registry dates
- Enumerated
- 2006-05-02
- Last updated
- 2011-09-22
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.