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DR. SUSAN INEZ WYNNE DDS
NPI 1780931915
Dentist in Copperhill, TN

Active since August 07, 2012PECOS Enrolled
122 COLONIAL AVE, COPPERHILL, TN 37317(423) 548-1525(423) 548-1526 Get Directions Write a Review

NPPES record last updated: August 27, 2015. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Dr. Susan Inez Wynne Dds NPPES

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

DR. SUSAN INEZ WYNNE DDS (NPI 1780931915) is an individual dentist in Copperhill, Tennessee, licensed in Tennessee (9455) and active in the NPI registry since August 2012. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1780931915
Entity TypeIndividualFemale
Primary Taxonomy122300000X
Provider Legal NameDR. SUSAN INEZ WYNNECredential: DDS
Location Address122 COLONIAL AVECopperhill, TN 37317-4000
Mailing Address122 Colonial AveCopperhill, TN 37317-4000 · (423) 548-1525 · Fax (423) 548-1526
Phone(423) 548-1525
Fax(423) 548-1526
Sole ProprietorYes
Enumeration DateAugust 7, 2012
Last NPPES UpdateAugust 27, 2015
✔ NPI 1780931915 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDentistDental Providers
Taxonomy Code122300000X
License✔ Licensed in TN · 9455
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.
122 COLONIAL AVE, Copperhill, TN 37317
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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. Susan Inez Wynne Dds 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 37317 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
$81.53 typical visit price
range $52.64 – $160.89
Typical copayment $20.38 (range $13.16 – $40.22)
Most-billed visit code 99203
Established Patient
$66.01 typical visit price
range $16.72 – $131.41
Typical copayment $16.50 (range $4.18 – $32.85)
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.

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 Susan Wynne's NPI number?

The NPI number for Susan Wynne is 1780931915. It was assigned to this individual provider in the NPPES registry on August 7, 2012.

Where is Susan Wynne located?

Susan Wynne practices at 122 Colonial Ave, Copperhill, TN 37317. The listed phone number is (423) 548-1525.

What is Susan Wynne's specialty?

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

Is Susan Wynne enrolled in Medicare?

Yes. Susan Wynne is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Susan Wynne was last updated on August 27, 2015. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 10 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.