Mary Ellen Wynn, D.D.S.,LLC

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

15596 Issued in OH

Legal business name

MARY ELLEN WYNN, D.D.S.,LLC

Practice address

3650 Muddy Creek Road
Suite 200
Cincinnati, OH 45238-2044

Phone

(513) 922-4221

Fax

(513) 922-5634

NPI assigned

Apr 18, 2007

Organization subpart

No

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

Authorized official

Name

Dr. Mary Ellen Wynn, D.D.S.NPI 1710964838

Title

Member

Phone

(513) 922-4221

Specialties & licenses 1

Addresses

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Mary Ellen Wynn, D.D.S.

  • General Practice Dentistry
  • Cincinnati, OH
  • NPI 1710964838
  NPD (past) Authorized official

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

{
    "created_epoch": "1176854400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1376769315",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3650 MUDDY CREEK ROAD",
            "address_2": "SUITE 200",
            "city": "CINCINNATI",
            "state": "OH",
            "postal_code": "452382044",
            "telephone_number": "513-922-4221",
            "fax_number": "513-922-5634"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3650 MUDDY CREEK ROAD",
            "address_2": "SUITE 200",
            "city": "CINCINNATI",
            "state": "OH",
            "postal_code": "452382044",
            "telephone_number": "513-922-4221",
            "fax_number": "513-922-5634"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MARY ELLEN WYNN, D.D.S.,LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-04-18",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "WYNN",
        "authorized_official_first_name": "MARY",
        "authorized_official_middle_name": "ELLEN",
        "authorized_official_title_or_position": "MEMBER",
        "authorized_official_telephone_number": "513-922-4221",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.D.S."
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, General Practice",
            "state": "OH",
            "license": "15596",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Andrew Louis Marx, DO
• Nicole Elizabeth Marx, PTA
• Shawnna M Marx
• Mary Ann Hanlon Inc
• Mary C Brady, CNP
• Mary Frances Faith and Hope House LLC
• Mary Kay Giovanetti, LLC (Inner Strength Counseling)
• Mary S. Stern Hand Surgery Foundation
• Sean Mary, DC
• Marys Compassionate Hands Staffing Solutions LLC

• General Practice Dentistry in Cincinnati, OH
• Providers in Cincinnati, OH by specialty
• General Practice Dentistry in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.