Dr. Rashidah Tynetta Wiley
Oral and Maxillofacial Pathology
800 Rose St
Lexington
, Kentucky 40536
Dr. Rashidah Tynetta Wiley
Oral and Maxillofacial Pathology
800 Rose St
Lexington
, Kentucky 40536
(859) 323-5515
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About
Features
Specialties
- Oral and Maxillofacial Pathology
Languages spoken
- English
Location
First Address
- Dr. Rashidah Tynetta Wiley
- 800 Rose St
- Lexington, KY
- Zip : 40536-7001
- Phone : (859) 323-5515
Second Address
- Dr. Rashidah Tynetta Wiley
- 800 Rose St
- Lexington, KY
- Zip : 40536
- Phone : (859) 323-5515
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Is Dr. Rashidah Tynetta Wiley a sole practitioner?
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| Y | 1223P0106X | Oral and Maxillofacial Pathology | 10225 | KY |
| N | 1223P0106X | Oral and Maxillofacial Pathology | DEN4597 | ME |
National Provider Identifier
| NPI | 1578829974 |
|---|---|
| Provider Name | Dr. Rashidah Tynetta Wiley |
| First Address | Lexington, KY 40536-7001 |
| Second Address | Lexington, KY 40536 |
| Gender | F |
| NPI Entity type | Individual |
| Is Sole Proprietor | No |
| Is Organization Subpart | N/A |
| Enumeration Date | 10/04/2012 |
| Last Update Date | 16/05/2019 |
NPI Footnotes
What is the National Provider Identifier (NPI)
Provider Location Address
Provider Mailing Address
Entity Type Code
1= Person: individual human being who furnishes health care;
2= Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)
What is a Subpart?
Provider Other Organization Name
1 = former name;
2 = professional name;
3 = doinq business as (d/b/ a) name;
4 = former legal business name;
5 = other.