Winn Smiles Cleveland

Primary specialty

DentistTaxonomy code 122300000X

License

7761 Issued in TN

Legal business name

WINN SMILES CLEVELAND

Practice address

120 23Rd St NW
Cleveland, TN 37311-3845

Phone

(423) 472-6482

NPI assigned

Feb 14, 2007

Organization subpart

No

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

Authorized official

Name

Bradley Winn, DDS

Title

Owner

Phone

(423) 472-6482

Specialties & licenses 2

Addresses

Other identifiers 1

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

{
    "created_epoch": "1171411200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1730937600000",
    "number": "1861535759",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "120 23RD ST NW",
            "city": "CLEVELAND",
            "state": "TN",
            "postal_code": "373113845",
            "telephone_number": "423-472-6482"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "120 23RD ST NW",
            "city": "CLEVELAND",
            "state": "TN",
            "postal_code": "373113845",
            "telephone_number": "423-472-6482"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WINN SMILES CLEVELAND",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-02-14",
        "last_updated": "2024-11-07",
        "status": "A",
        "authorized_official_last_name": "WINN",
        "authorized_official_first_name": "BRADLEY",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "423-472-6482",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Dentist",
            "state": "TN",
            "license": "7761",
            "primary": true
        },
        {
            "code": "122300000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Dentist",
            "state": "TN",
            "license": "8088",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "OUR BCBS PROVIDER ID #",
            "identifier": "4062753",
            "state": "TN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Gavin Davis Wilson
• Ryan Patrick Wilson, DDS
• Tiffany Michelle Ladonna Wilson
• Lacy M Windham, MD
• Tammy Wingo-Salmond
• Bradley Logan Winn, D.D.S.
• Alan Winter, D.PH.
• Teresa Melanie Winter, R.PH.
• Paige Wisebaker
• Marissa Lyn Withrow

• Dentist in Cleveland, TN
• Providers in Cleveland, TN by specialty
• Dentist in Tennessee

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 7, 2024; 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.