OrganizationActive
David D. Wyse, D.D.S., P.C.
NPI 1124143896 · Dental Clinic/Center · Bloomington, IL
David D. Wyse, D.D.S., P.C. is a Dental Clinic/Center organization in Bloomington, IL (NPI 1124143896).
Provider details
- NPI number
- 1124143896
- Entity type
- Organization
- Primary specialty
- Dental Clinic/CenterAmbulatory Health Care Facilities
- Organization subpart
- No
- Authorized official
- David Wyse, Owner(309) 663-6393
- License
- 060001892 (IL)
Specialties & taxonomies
Ambulatory Health Care Facilities
Profile Score
Detailed profile(89/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
19 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
207 S Prospect Rd
Ste. 2
Bloomington, IL 61704-4905
Phone: (309) 663-6393
Fax: (309) 664-0366
Street-level locationGet directions
Mailing address
207 S Prospect Rd
Bloomington, IL 61704-4905
Registry dates
- Enumerated
- 2007-03-20
- Last updated
- 2013-10-03
Frequently asked questions
- What is David D. Wyse, D.D.S., P.C.'s NPI number?
- David D. Wyse, D.D.S., P.C.'s National Provider Identifier (NPI) is 1124143896, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is David D. Wyse, D.D.S., P.C.?
- David D. Wyse, D.D.S., P.C. is classified in the NPPES registry as Dental Clinic/Center (Ambulatory Health Care Facilities).
- Where is David D. Wyse, D.D.S., P.C. located?
- David D. Wyse, D.D.S., P.C.'s practice location on file with NPPES is 207 S Prospect Rd, Bloomington, IL 61704-4905.
- What is David D. Wyse, D.D.S., P.C.'s phone number?
- The practice phone number listed in the NPPES registry for David D. Wyse, D.D.S., P.C. is (309) 663-6393.
- Who is the authorized official for David D. Wyse, D.D.S., P.C.?
- The authorized official listed on David D. Wyse, D.D.S., P.C.'s NPPES record is David Wyse, Owner. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is David D. Wyse, D.D.S., P.C.'s NPI active?
- Yes — David D. Wyse, D.D.S., P.C.'s NPI (1124143896) is active in the NPPES registry as of the last update on 2013-10-03.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.