William P D Wynne DDS PA

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

3630 Issued in NC

Legal business name

WILLIAM P D WYNNE DDS PA

Practice address

5009 Western Blvd
Suite a
Raleigh, NC 27606

Phone

(919) 851-3716

Fax

(919) 851-8383

NPI assigned

Sep 19, 2007

Organization subpart

No

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

Authorized official

Name

William Poindexter Dixon Wynne, DDSNPI 1174961312

Title

President Owner

Phone

(919) 851-3716

Specialties & licenses 1

Addresses

Locations

Practitioners 2

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

• William Pemberton Dixon Wynne, D.D.S.

  • General Practice Dentistry
  • Raleigh, NC
  • NPI 1174961312
  NPD (past) Authorized official
• William Tyler Wynne, DDS

  • General Practice Dentistry
  • Clemmons, NC
  • NPI 1518379601
  NPD (past)

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

{
    "created_epoch": "1190160000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1190160000000",
    "number": "1720274145",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5009 WESTERN BLVD",
            "address_2": "SUITE A",
            "city": "RALEIGH",
            "state": "NC",
            "postal_code": "27606",
            "telephone_number": "919-851-3716",
            "fax_number": "919-851-8383"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5009 WESTERN BLVD",
            "address_2": "SUITE A",
            "city": "RALEIGH",
            "state": "NC",
            "postal_code": "27606",
            "telephone_number": "919-851-3716",
            "fax_number": "919-851-8383"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WILLIAM P D WYNNE DDS PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-09-19",
        "last_updated": "2007-09-19",
        "status": "A",
        "authorized_official_last_name": "WYNNE",
        "authorized_official_first_name": "WILLIAM",
        "authorized_official_middle_name": "POINDEXTER DIXON",
        "authorized_official_title_or_position": "PRESIDENT OWNER",
        "authorized_official_telephone_number": "919-851-3716",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, General Practice",
            "state": "NC",
            "license": "3630",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Alissa Tobin Willett
• Perry Willette, M.D.
• Claire Willey, PHARMD
• Leanna Bruen Willey, M.D.
• William L. Turner IV, DMD, Ms, PA
• William W. Hedrick, M.D. PA
• Williams DDS PA
• Kathleen Williams Nissman, MD
• Amy Williams Phelps, PHARM D, RPH
• Williams Psychiatry PLLC

• General Practice Dentistry in Raleigh, NC
• Providers in Raleigh, NC by specialty
• General Practice Dentistry in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 19, 2007; 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.