DR. KENNETH ORLANDO WYNN DMD
NPI 1972692192
Dentist in West Point, NY

Active since October 12, 2006PECOS Enrolled
UNITED STATES MILITYARY ACADEMY, DENTAC, 646 SWIFT ROAD, WEST POINT, NY 10996(845) 938-4212(845) 938-4302 Get Directions Write a Review

NPPES record last updated: July 8, 2007. Verified against the NPPES registry weekly; last sync: August 23, 2026.

About Dr. Kenneth Orlando Wynn Dmd NPPES

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

DR. KENNETH ORLANDO WYNN DMD (NPI 1972692192) is an individual dentist in West Point, New York, licensed in Georgia (DN0S11664) and active in the NPI registry since October 2006. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1972692192
Entity TypeIndividualMale
Primary Taxonomy122300000X
Provider Legal NameDR. KENNETH ORLANDO WYNNCredential: DMD
Location AddressUNITED STATES MILITYARY ACADEMY, DENTAC, 646 SWIFT ROADWest Point, NY 10996-1905
Mailing AddressUnited States Milityary Academy, Dentac, 646 Swift RoadWest Point, NY 10996-1905 · (845) 938-4212 · Fax (845) 938-4302
Fax(845) 938-4302
Sole ProprietorYes
Enumeration DateOctober 12, 2006
Last NPPES UpdateJuly 8, 2007
NPI 1972692192 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyDentistDental Providers
Taxonomy Code122300000X
License Licensed in GA · DN0S11664
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.
UNITED STATES MILITYARY ACADEMY, West Point, NY 10996

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. Kenneth Orlando 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 10996 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
$95.99 typical visit price
range $61.88 – $187.05
Typical copayment $23.99 (range $15.47 – $46.76)
Most-billed visit code 99203
Established Patient
$76.88 typical visit price
range $19.92 – $151.94
Typical copayment $19.22 (range $4.98 – $37.98)
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 Kenneth Wynn's NPI number?

The NPI number for Kenneth Wynn is 1972692192. It was assigned to this individual provider in the NPPES registry on October 12, 2006.

Where is Kenneth Wynn located?

Kenneth Wynn practices at United States Milityary Academy Dentac, 646 Swift Road, West Point, NY 10996. The listed phone number is (845) 938-4212.

What is Kenneth Wynn's specialty?

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

Is Kenneth Wynn enrolled in Medicare?

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

When was this NPI record last updated?

The NPPES record for Kenneth Wynn was last updated on July 8, 2007. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 19 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.