Nelson Jonathan Gwinn, DMD

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

7459 Issued in AL

Practice address

200 Grove Park LN Ste 610
Dothan, AL 36305-5919

Phone

(334) 699-7777

Fax

(334) 699-7778

NPI assigned

Jun 16, 2025

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Hassan Dentistry, P.C.

  • Dental Clinic/Center
  • Dothan, AL
  • NPI 1982912200
  NPD (past)

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

{
    "created_epoch": "1750032000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1750032000000",
    "number": "1629964804",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "200 GROVE PARK LN STE 610",
            "city": "DOTHAN",
            "state": "AL",
            "postal_code": "363055919",
            "telephone_number": "334-699-7777",
            "fax_number": "334-699-7778"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "200 GROVE PARK LN STE 610",
            "city": "DOTHAN",
            "state": "AL",
            "postal_code": "363055919",
            "telephone_number": "334-699-7777",
            "fax_number": "334-699-7778"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GWINN",
        "first_name": "NELSON",
        "middle_name": "JONATHAN",
        "name_prefix": "Dr.",
        "credential": "DMD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2025-06-16",
        "last_updated": "2025-06-16",
        "certification_date": "2025-06-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "AL",
            "license": "7459",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Gut PC
• Gut PC
• Ramaseetha Gutta, M.D.
• Jimmie Guyton, LCSW
• Nelson Gwinn III, M.D.
• Traci Giles Hackett, M.D.
• Lance Hagler, PHARMD
• Robert M Hagler, MD
• Hairoglyphics Hair and Beauty Salon
• John H. Haley Jr., M.D.

• General Practice Dentistry in Dothan, AL
• Providers in Dothan, AL by specialty
• General Practice Dentistry in Alabama

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 16, 2025; 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.