Dr. Peter W Wylie , DDS
Dentist - General Practice • Tukwila, WA
Notice of NPI Deactivation & Inactive Practice Status
According to official public domain records published by CMS (Centers for Medicare & Medicaid Services) in the National Provider Identifier (NPPES) Registry, Dr. Peter Wylie has officially deactivated this NPI record and ceased active healthcare practice.
Professional Overview & Biography Verified Profile Summary
Dr. Peter Wylie, DDS was a registered Dentist - General Practice practicing in Tukwila, WA. Throughout an active medical career spanning 16 years, Dr. Wylie provided care at the practice location at 411 STRANDER BLVD until profile deactivation on 2021-09-24.
Practice Location & Contact Primary Location
411 Strander Blvd
Suite 105
Tukwila, WA 981882935
Specialty Benchmarks & Practice Insights
Comparative analytics for Dentist - General Practice in Tukwila, WA
Practicing in Tukwila, WA (3345 Statewide)
In-Person Office Visits Only
Under CMS Medicare Fee Schedule vs Standard Submitted Charges
Medical Specialties & State Licenses
NUCC Taxonomy Code: 1223G0001X
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.
Practice Associates & Co-Workers
Healthcare professionals and specialists practicing at this location or sharing practice phone/fax
Dentist - General Practice
Doctor of Dental Surgery
Dentist
Doctor of Dental Surgery
Dentist - General Practice
Doctor of Dental Surgery
Dentist - Endodontics
Doctor of Dental Surgery, MSCD
Optometrist
Doctor of Optometry
Dentist
Doctor of Dental Surgery
Career & Practice History Timeline
Chronological log of verified NPI updates, location relocations, credentials, and registry changes
Record deactivated on September 24, 2021
NPI status registered as active in NPPES database
Registered at 411 STRANDER BLVD, SUITE 105, TUKWILA, WA 981882935 (Tel: 2065754577)
Registered at 411 STRANDER BLVD, SUITE 105, TUKWILA, WA 981882935 (Tel: 2065754577)
Recorded as PETER WYLIE, DDS
Dentist (License #3627 in WA)
First registered as active Individual Practitioner in NPPES Database.
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NPI Administrative Meta
Mailing Address
411 Strander Blvd, Suite 105
Tukwila, WA 981882935
Phone: 2065754577
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