MR. WILLIAM PEMBERTON DIXON WYNNE D.D.S. NPI 1174961312

NPI Information

NPI: 1174961312
Provider Name: MR. WILLIAM PEMBERTON DIXON WYNNE, D.D.S.
Classification: Dentist - 1223G0001X
Entity Type: Individual

Specialization: General Practice

PECOS Registration: Yes

Address:
5009 WESTERN BLVD.
SUITE A
RALEIGH, NC
ZIP 27606
Phone: (919) 851-3716
Get Directions

MR. William Pemberton Dixon Wynne, D.D.S. is a general practice dentist in Raleigh, NC. The provider is 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. MR. William Pemberton Dixon Wynne, D.D.S. NPI is 1174961312. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

The provider's business location address is:

5009 WESTERN BLVD.
SUITE A
RALEIGH, NC
ZIP 27606
Phone: (919) 851-3716
Fax: (919) 851-8383

The NPI 1174961312 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS).

The enumeration date for this NPI number is 6/10/2013 and was last updated on 6/10/2013.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	1223G0001X	Dentist	General Practice	#3630	NORTH CAROLINA	Yes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

NPI Synchronization or Removal

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