William T Wynne, DDS, PLLC

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

Legal business name

WILLIAM T WYNNE, DDS, PLLC

Doing business as

Carolinas BioHealth Dentistry

Practice address

100 Stadium Oaks Dr Ste a
Clemmons, NC 27012-8961

Phone

(336) 793-0577

Fax

(336) 778-2437

NPI assigned

Dec 2, 2021

Last updated

Jun 16, 2023By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Dawn Hall

Title

Office Manager

Phone

(336) 778-2477

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• Carolinas BioHealth Dentistry Doing business as

Electronic endpoints 1

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• William Tyler Wynne, DDS

  • General Practice Dentistry
  • Clemmons, NC
  • NPI 1518379601
  NPD

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

{
    "created_epoch": "1638403200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1686873600000",
    "number": "1962160358",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "100 STADIUM OAKS DR STE A",
            "city": "CLEMMONS",
            "state": "NC",
            "postal_code": "270128961",
            "telephone_number": "336-778-2477",
            "fax_number": "336-778-2437"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "100 STADIUM OAKS DR STE A",
            "city": "CLEMMONS",
            "state": "NC",
            "postal_code": "270128961",
            "telephone_number": "336-793-0577",
            "fax_number": "336-778-2437"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WILLIAM T WYNNE, DDS, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-12-02",
        "last_updated": "2023-06-16",
        "certification_date": "2023-06-16",
        "status": "A",
        "authorized_official_last_name": "HALL",
        "authorized_official_first_name": "DAWN",
        "authorized_official_title_or_position": "OFFICE MANAGER",
        "authorized_official_telephone_number": "336-778-2477"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, General Practice",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "TYPE 1 NPI",
            "identifier": "1518379601",
            "state": null
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "info@smilesbysharon.com",
            "affiliation": "N",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "100 Stadium Oaks Dr Ste A",
            "city": "Clemmons",
            "state": "NC",
            "country_code": "US",
            "postal_code": "270128961",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": [
        {
            "organization_name": "Carolinas BioHealth Dentistry",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Steve Weston, LCSW
• Hugh Avery Wheeler, PA-C
• Mayisha White-Dunham, M.D.
• Sarah Beth White
• William J Oneill (Carolina Foot Care Assoc PLLC)
• Adam Jon Williams, D.C.
• Angela Williams, RN
• Brittani Williams
• Christi Williams, BCBA
• Leslie Dawn Williams, FNP

• General Practice Dentistry in Clemmons, NC
• Providers in Clemmons, 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 Jun 16, 2023; 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.