Recently Updated NPI Information — some details in this NPI profile have been updated in the NPI registry within the last 60 days.

SOE LWIN WYNN DMD
NPI 1750362976
Dentist in Modesto, CA

Q: What is Soe Wynn's NPI number?

The NPI number for Soe Wynn is 1750362976. It was assigned to this individual provider in the NPPES registry on November 7, 2005.

Q: What is Soe Wynn's specialty?

The primary specialty registered for this NPI is Dentist with taxonomy code 122300000X.

Q: When was this NPI record last updated?

The NPPES record for Soe Wynn was last updated on July 13, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 24 days 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.

Active since November 07, 2005PECOS Enrolled

2030 COFFEE RD, SUITE # C-4, MODESTO, CA 95355(209) 238-9444(209) 238-9446 Get Directions Write a Review

NPPES record last updated: July 13, 2026. Verified against the NPPES registry weekly; last sync: August 02, 2026.

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About Soe Lwin Wynn Dmd NPPES

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

SOE LWIN WYNN DMD (NPI 1750362976) is an individual dentist in Modesto, California, licensed in California (CA45058) and active in the NPI registry since November 2005. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1750362976

Entity TypeIndividualMale

Primary Taxonomy122300000X

Provider Legal NameSOE LWIN WYNNCredential: DMD

Location Address2030 COFFEE RD, SUITE # C-4Modesto, CA 95355-2413

Mailing Address2030 Coffee Rd, Suite # C-4Modesto, CA 95355-2413 · (209) 238-9444 · Fax (209) 238-9446

Phone(209) 238-9444

Fax(209) 238-9446

Sole ProprietorNo

Enumeration DateNovember 7, 2005

Last NPPES UpdateJuly 13, 2026

✔ NPI 1750362976 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDentistDental Providers

Taxonomy Code122300000X

License✔ Licensed in CA · CA45058

Definition

A dentist is a person qualified by a doctorate in dental surgery (D.D.S.) or dental medicine (D.M.D.), licensed by the state to practice dentistry, and practicing within the scope of that license. There is no difference between the two degrees: dentists who have a DMD or DDS have the same education. Universities have the prerogative to determine what degree is awarded. Both degrees use the same curriculum requirements set by the American Dental Association's Commission on Dental Accreditation. Generally, three or more years of undergraduate education plus four years of dental school is required to graduate and become a general dentist. State licensing boards accept either degree as equivalent, and both degrees allow licensed individuals to practice the same scope of general dentistry. Additional post-graduate training is required to become a dental specialist.

2030 COFFEE RD, Modesto, CA 95355

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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include BEST Life, Blue Cross and Blue Shield of Alabama, Blue Cross and Blue Shield of Montana and more.Insurance ›

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Soe Lwin Wynn Dmd 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 95355 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

$90.32 typical visit price

range $58.87 – $176.60

Typical copayment $22.58 (range $14.71 – $44.15)

Most-billed visit code 99203

Established Patient

$73.16 typical visit price

range $19.28 – $144.60

Typical copayment $18.29 (range $4.82 – $36.15)

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.

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Other Providers at the Same Location NPPES 10

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

DR. RAZEQ ABDUL SHETAB M.D.

Internal Medicine (Infectious Disease)

2030 COFFEE RD, SUITE B-1
MODESTO, CA 95355

Stanislaus County (209) 578-1200

MR. JAMES L SPARKMAN SLP

Speech-Language Pathologist

2030 COFFEE RD, SUITE C-2
MODESTO, CA 95355

Stanislaus County (209) 572-2505

CHUN PO HUANG D.D.S.

Dentist (General Practice)

2030 COFFEE RD, C-4
MODESTO, CA 95355

Stanislaus County (209) 238-9444

FAMILY PLANNING ASSOCIATES MEDICAL GROUP INC

Clinical Medical Laboratory

2030 COFFEE RD, SUITE A-1
MODESTO, CA 95355

Stanislaus County (209) 578-0443

DR. YAN GAO DDS

Dentist (General Practice)

2030 COFFEE RD
MODESTO, CA 95355

Stanislaus County (203) 747-1133

STANLEY D. BRIZENDINE CRNA

Nurse Anesthetist, Certified Registered

2030 COFFEE RD, SUITE A-1
MODESTO, CA 95355

Stanislaus County (209) 578-0443

MICHAEL S. WEINER MD

Obstetrics & Gynecology

2030 COFFEE RD, SUITE A-1
MODESTO, CA 95355

Stanislaus County (209) 578-0443

SOE L. WYNN, DMD, INC.

Dentist

2030 COFFEE RD, SUITE C-4
MODESTO, CA 95355

Stanislaus County (209) 238-9444

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 Soe Wynn's NPI number?

The NPI number for Soe Wynn is 1750362976. It was assigned to this individual provider in the NPPES registry on November 7, 2005.

Where is Soe Wynn located?

Soe Wynn practices at 2030 Coffee Rd Suite # C-4, Modesto, CA 95355. The listed phone number is (209) 238-9444.

What is Soe Wynn's specialty?

The primary specialty registered for this NPI is Dentist with taxonomy code 122300000X.

Is Soe Wynn enrolled in Medicare?

Yes. Soe Wynn is registered in the Medicare PECOS enrollment system.

What insurance does Soe Wynn accept?

Health plans from BEST Life, Blue Cross and Blue Shield of Alabama, Blue Cross and Blue Shield of Montana, Blue Cross and Blue Shield of Oklahoma and Blue Cross and Blue Shield of Texas and 5 other insurers list Soe Wynn as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Soe Wynn was last updated on July 13, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 24 days 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.