Frank O. Winn, D.D.S.

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

1917-80 Issued in MS

Practice address

4551 Gautier Vancleave Rd
Ste a
Gautier, MS 39553-4810

Phone

(228) 497-6110

Fax

(228) 497-7092

NPI assigned

May 24, 2005

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1116892800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1236816000000",
    "number": "1407859325",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4551 GAUTIER VANCLEAVE RD",
            "address_2": "STE A",
            "city": "GAUTIER",
            "state": "MS",
            "postal_code": "395534810",
            "telephone_number": "228-497-6110",
            "fax_number": "228-497-7092"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4551 GAUTIER VANCLEAVE RD",
            "address_2": "STE A",
            "city": "GAUTIER",
            "state": "MS",
            "postal_code": "395534810",
            "telephone_number": "228-497-6110",
            "fax_number": "228-497-7092"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WINN",
        "first_name": "FRANK",
        "middle_name": "O.",
        "name_prefix": "Dr.",
        "credential": "D.D.S.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2005-05-24",
        "last_updated": "2009-03-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "MS",
            "license": "1917-80",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "UNITED CONCORDIA",
            "identifier": "41474",
            "state": "MS"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Kimberly Danielle Wilson, BS
• Nadine Anita Wilson, BS
• Richard Leon Wilson II, B.S.
• Sarah K Wilson, FNP
• Zora Wilson
• Kurtisha Brister Winstead
• Maria L Woodard
• Miracle R Woodard
• Raymond Timothy Woodard, M.S.
• Kimberly Diane Woodcock

• General Practice Dentistry in Gautier, MS
• Providers in Gautier, MS by specialty
• General Practice Dentistry in Mississippi

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 12, 2009; 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.