Jennifer Diane Wynn in Lithia - General Practice

Jennifer Diane Wynn - NPI 1720121023

Jennifer Diane Wynn is a General Practice in Lithia, Florida. Jennifer Diane Wynn practices all healthcare services and medical treatments related to General Practice. The NPI Number for Jennifer Diane Wynn is 1720121023. The last update date is 2007-07-08.

Jennifer Diane Wynn's current location address is 5486 Lithia Pinecrest Rd, Lithia, Florida. You can contact this provider via phone number 8135715555 and fax number 8135715559. The mailing address for Jennifer Diane Wynn is 5486 Lithia Pinecrest Rd, Lithia, Florida. To know further, please read the information below!

Provider Profile Detail

Provider Name Jennifer Diane Wynn
Address 5486 Lithia Pinecrest Rd, Lithia, Florida
Phone Number 8135715555
Fax Number 8135715559
Sole Proprietor N
Credentials D.M.D.

NPI Number Detail

NPI Number 1720121023
Provider Enumeration Date 2007-02-15
Last Updated Date 2007-07-08

Provider Mailing Address Detail

Address 5486 Lithia Pinecrest Rd
City Lithia
State Florida (FL)
Post Code 335472853
Phone Number 8135715555
Fax Number 8135715559

Provider's Primary Taxonomy Detail

Speciality General Practice
Taxonomy 1223G0001X
Licence No DN15256
Definition:
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.

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FAQs about Jennifer Diane Wynn

What is the unique identifier code issued to Jennifer Diane Wynn by the Centers for Medicare & Medicaid Services?

The Jennifer Diane Wynn has been assigned the NPI (National Provider Identifier) 1720121023. This 10-digit code serves as a unique identification number for healthcare providers issued by the Centers for Medicare & Medicaid Services (CMS).

Could you provide the complete address where Jennifer Diane Wynn is physically located?

The Jennifer Diane Wynn is situated at the following address: 5486 Lithia Pinecrest Rd, Lithia, FL 335472853.

What is Jennifer Diane Wynn's primary field of medical specialization, and what is the corresponding taxonomy classification code for this area of expertise?

The primary field of medical specialization for Jennifer Diane Wynn is General Practice, and the taxonomy classification code that categorizes this area of expertise is 1223G0001X.

On what date did the Centers for Medicare & Medicaid Services originally issue the 1720121023 to Jennifer Diane Wynn?

The Centers for Medicare & Medicaid Services originally issued the 1720121023 to Jennifer Diane Wynn on 2007-02-15.

When was the information pertaining to Jennifer Diane Wynn most recently updated or revised?

The details related to Jennifer Diane Wynn, including its address, specialty, and other relevant information, were last updated or revised on 2007-07-08.

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