DR. WILLIAM BERNARD WYNN IV D.D.S., M.S.
NPI 1245359371
Dentist - Periodontics in Tulsa, OK

Q: What is William Wynn's NPI number?

The NPI number for William Wynn is 1245359371. It was assigned to this individual provider in the NPPES registry on March 28, 2007.

Q: What is William Wynn's specialty?

The primary specialty registered for this NPI is Dentist, specializing in Periodontics, with taxonomy code 1223P0300X.

Q: When was this NPI record last updated?

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

Active since March 28, 2007PECOS Enrolled

6565 S YALE AVE, SUITE 1008, TULSA, OK 74136(918) 492-0737(918) 492-9439 Get Directions Write a Review

NPPES record last updated: July 8, 2007. Verified against the NPPES registry weekly; last sync: July 26, 2026.

On this page

About Dr. William Bernard Wynn Iv D.d.s., M.s. NPPES

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

DR. WILLIAM BERNARD WYNN IV D.D.S., M.S. (NPI 1245359371) is an individual periodontics provider in Tulsa, Oklahoma, licensed in Oklahoma (5447) and active in the NPI registry since March 2007. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1245359371

Entity TypeIndividualMale

Primary Taxonomy1223P0300X

Provider Legal NameDR. WILLIAM BERNARD WYNN IVCredential: D.D.S., M.S.

Location Address6565 S YALE AVE, SUITE 1008Tulsa, OK 74136-8378

Mailing Address6565 S Yale Ave, Suite 1008Tulsa, OK 74136-8378 · (918) 492-0737 · Fax (918) 492-9439

Phone(918) 492-0737

Fax(918) 492-9439

Sole ProprietorNo

Enumeration DateMarch 28, 2007

Last NPPES UpdateJuly 8, 2007

✔ NPI 1245359371 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDentist · PeriodonticsDental Providers

Taxonomy Code1223P0300X

License✔ Licensed in OK · 5447

Definition

That specialty of dentistry which encompasses the prevention, diagnosis and treatment of diseases of the supporting and surrounding tissues of the teeth or their substitutes and the maintenance of the health, function and esthetics of these structures and tissues.

6565 S YALE AVE, Tulsa, OK 74136

Open in Google Maps ↗

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Dr. William Bernard Wynn Iv D.d.s., M.s. is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency– Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 74136 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient

$82.46 typical visit price

range $53.00 – $162.61

Typical copayment $20.61 (range $13.25 – $40.65)

Most-billed visit code 99203

Established Patient

$66.48 typical visit price

range $16.68 – $132.40

Typical copayment $16.62 (range $4.17 – $33.10)

Most-billed visit code 99213

Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Leave this field empty