DR. LAURENCE A WYNN DDS - NPI 1215146337

Q: What is Laurence Wynn's NPI number?

The NPI number for Laurence Wynn is 1215146337. It was assigned to this individual provider in the NPPES registry on May 22, 2007.

Q: What is Laurence Wynn's specialty?

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

Q: When was this NPI record last updated?

The NPPES record for Laurence Wynn was last updated on July 8, 2007. NPI Profile syncs with the weekly NPPES data releases published by CMS.

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About Dr. Laurence A Wynn Dds NPPES

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

DR. LAURENCE A WYNN DDS (NPI 1215146337) is an individual general practice provider in Commack, New York, licensed in New York (22571) and active in the NPI registry since May 2007.

NPPES Registry Identity

NPI1215146337

Entity TypeIndividualMale

Primary Taxonomy1223G0001X

Provider Legal NameDR. LAURENCE A WYNNCredential: DDS

Location Address164 COMMACK RDCommack, NY 11725-3430

Mailing Address164 Commack RdCommack, NY 11725-3430 · (631) 499-3377 · Fax (631) 858-0586

Phone(631) 499-3377

Fax(631) 858-0586

Sole ProprietorNo

Enumeration DateMay 22, 2007

Last NPPES UpdateJuly 8, 2007

✔ NPI 1215146337 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDentist · General PracticeDental Providers

Taxonomy Code1223G0001X

License✔ Licensed in NY · 22571

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.

164 COMMACK RD, Commack, NY 11725

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