National Provider Identifier
Robert Gerard Wylie, DDS
Robert Gerard Wylie, DDS is listed in the NPPES registry with a primary specialty of General Practice Dentistry in Corning, NY and a listed phone number of (607) 936-6464.
Profile Overview
- NPI
- 1336213057
- Provider Type
- Individual
- Primary Specialty
- General Practice Dentistry
- Enumeration Date
- November 17, 2006
- Last Updated
- March 07, 2023
Practice Location
- 182 E 1St St
- Corning, NY 14830-2816
Phone: (607) 936-6464
Specialties
- General Practice Dentistry (1223G0001X)
Full Record
- NPI
- 1336213057
- Entity Type
- Individual
- Last Name
- Wylie
- First Name
- Robert
- Middle Name
- Gerard
- Name Prefix
- Dr.
- Credential
- DDS
- Mailing Street Address
- 182 E 1St St
- Mailing City
- Corning
- Mailing State
- NY
- Mailing ZIP Code
- 14830-2816
- Mailing Country
- US
- Mailing Phone
- (607) 936-6464
- Mailing Fax
- (607) 936-4559
- Practice Street Address
- 182 E 1St St
- Practice City
- Corning
- Practice State
- NY
- Practice ZIP Code
- 14830-2816
- Practice Country
- US
- Practice Phone
- (607) 936-6464
- Practice Fax
- (607) 936-4559
- Enumeration Date
- November 17, 2006
- Last Updated
- March 07, 2023
- Sex
- Male
- Sole Proprietor
- No
- updated_by_file
- npidata_pfile_20050523-20260308.csv
- Taxonomies
- General Practice Dentistry (1223G0001X)
- Other Identifiers
- 034292 (NY, State Lic#), 00381815 (NY)