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DR. ROBERT M. WYNN DMD
NPI 1144352170
Dentist - General Practice in Peoria, IL

Active since March 13, 2007
4517 N ROCKWOOD DR, PEORIA, IL 61615(309) 688-1021(309) 688-5643 Get Directions Write a Review

NPPES record last updated: December 10, 2020. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Dec 10, 2020, Oct 6, 2020 (2 updates tracked since 2020).

About Dr. Robert M. Wynn Dmd NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

DR. ROBERT M. WYNN DMD (NPI 1144352170) is an individual general practice provider in Peoria, Illinois, licensed in Illinois (019021592) and active in the NPI registry since March 2007.

NPPES Registry Identity

NPI1144352170
Entity TypeIndividualMale
Primary Taxonomy1223G0001X
Provider Legal NameDR. ROBERT M. WYNNCredential: DMD
Location Address4517 N ROCKWOOD DRPeoria, IL 61615-3841
Mailing Address4517 N Rockwood DrPeoria, IL 61615-3841 · (309) 688-1021 · Fax (309) 688-5643
Phone(309) 688-1021
Fax(309) 688-5643
Sole ProprietorYes
Enumeration DateMarch 13, 2007
Last NPPES UpdateDecember 10, 20202 updates tracked since enumeration
NPPES CertifiedDecember 10, 2020
✔ NPI 1144352170 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDentist · General PracticeDental Providers
Taxonomy Code1223G0001X
Licenses✔ Licensed in IL · 019021592✔ Licensed in IL · 019-021592
Definition
A general dentist is the primary dental care provider for patients of all ages. The general dentist is responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs.
4517 N ROCKWOOD DR, Peoria, IL 61615
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Other Providers at the Same Location NPPES 5

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

ALEXANDER JAMES BOERCKEL D.M.D
Dentist
4517 N ROCKWOOD DR
PEORIA, IL 61615
Peoria County (309) 688-0121
DR. MATTHEW LIESEN DMD
Dentist (General Practice)
4517 N ROCKWOOD DR
PEORIA, IL 61615
Peoria County (309) 688-0121
DR. MICAH A ROBERTS DMD
Dentist (General Practice)
4517 N ROCKWOOD DR
PEORIA, IL 61615
Peoria County (309) 693-0043
PEORIA DENTAL CARE
Clinic/Center (Dental)
4517 N ROCKWOOD DR
PEORIA, IL 61615
Peoria County (309) 688-0121
MIKAYLIN WOODSIDE DMD
Dentist
4517 N ROCKWOOD DR
PEORIA, IL 61615
Peoria County (309) 688-0121

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Robert Wynn's NPI number?

The NPI number for Robert Wynn is 1144352170. It was assigned to this individual provider in the NPPES registry on March 13, 2007.

Where is Robert Wynn located?

Robert Wynn practices at 4517 N Rockwood Dr, Peoria, IL 61615. The listed phone number is (309) 688-1021.

What is Robert Wynn's specialty?

The primary specialty registered for this NPI is Dentist, specializing in General Practice, with taxonomy code 1223G0001X.

When was this NPI record last updated?

The NPPES record for Robert Wynn was last updated on December 10, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.