Organization Active NPI

Wynn Dental Corporation

  • General Practice Dentistry
  • Glendale, AZ
National Provider Identifier
1174199434
Registry record updated Mar 17, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
Legal business name
WYNN DENTAL CORPORATION
Doing business as
Mercy Care Dental Care
Mercy Dental Care
Practice address
6615 W Happy Valley Rd Ste 103104
Glendale, AZ 85310-2608
Phone
(623) 267-8088
NPI assigned
May 27, 2021
Organization subpart
Yes
Parent organization
WYNN DENTAL CORPORATIONAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Mar 17, 2026

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Ms. Celina Romero
Title
Credentialing
Phone
(480) 795-2420

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice DentistryGroup: 193200000X MULTI-SPECIALTY GROUP 1223G0001X Primary

Addresses

Primary practice location

6615 W Happy Valley Rd Ste 103104
Glendale, AZ 85310-2608

Mailing address

6615 W Happy Valley Rd Ste 103104
Glendale, AZ 85310-2608
Phone (623) 267-8088

Other names 2

  • Mercy Care Dental Care Doing business as
  • Mercy Dental Care Doing business as

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address info@westbelldentalcare.com Direct Wynn Dental Corporation

National Provider Directory

National Provider Directory
Tax ID family
Wynn Dental Corporation2 organizations share this tax ID, including this one
Part of
Wynn Dental Corporation

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

Locations

6615 W Happy Valley Rd
Ste 103104
Glendale, AZ 85310
Phone (623) 267-8088

Ownership & related parties

Parent organization (reported in NPPES) 1

This organization reports itself as a subpart in NPPES; the parent’s legal name matches this organization in the same state.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1622073600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1773705600000",
    "number": "1174199434",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6615 W HAPPY VALLEY RD STE 103104",
            "city": "GLENDALE",
            "state": "AZ",
            "postal_code": "853102608",
            "telephone_number": "623-267-8088"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6615 W HAPPY VALLEY RD STE 103104",
            "city": "GLENDALE",
            "state": "AZ",
            "postal_code": "853102608",
            "telephone_number": "623-267-8088"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WYNN DENTAL CORPORATION",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "WYNN DENTAL CORPORATION",
        "enumeration_date": "2021-05-27",
        "last_updated": "2026-03-17",
        "certification_date": "2026-03-17",
        "status": "A",
        "authorized_official_last_name": "ROMERO",
        "authorized_official_first_name": "CELINA",
        "authorized_official_title_or_position": "CREDENTIALING",
        "authorized_official_telephone_number": "480-795-2420",
        "authorized_official_name_prefix": "Ms."
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Dentist, General Practice",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "info@westbelldentalcare.com",
            "affiliation": "Y",
            "endpointDescription": "office email",
            "affiliationName": "Wynn Dental Corporation",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "16581 W Bell Rd Ste 108",
            "city": "Surprise",
            "state": "AZ",
            "country_code": "US",
            "postal_code": "853740004",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": [
        {
            "organization_name": "Mercy Care Dental Care",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Mercy Dental Care",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Glendale, AZ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 17, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.