Robert M. Wynn is a General Practice in Peoria, Illinois. Robert M. Wynn practices all healthcare services and medical treatments related to General Practice. The NPI Number for Robert M. Wynn is 1144352170. The last update date is 2020-12-10.
Robert M. Wynn's current location address is 4517 N Rockwood Dr, Peoria, Illinois. You can contact this provider via phone number 3096881021 and fax number 3096885643. The mailing address for Robert M. Wynn is 4517 N Rockwood Dr, Peoria, Illinois. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Robert M. Wynn |
|---|---|
| Address | 4517 N Rockwood Dr, Peoria, Illinois |
| Phone Number | 3096881021 |
| Fax Number | 3096885643 |
| Sole Proprietor | Y |
| Credentials | DMD |
NPI Number Detail
| NPI Number | 1144352170 |
|---|---|
| Provider Enumeration Date | 2007-03-13 |
| Last Updated Date | 2020-12-10 |
Provider Mailing Address Detail
| Address | 4517 N Rockwood Dr |
|---|---|
| City | Peoria |
| State | Illinois (IL) |
| Post Code | 616153841 |
| Phone Number | 3096881021 |
| Fax Number | 3096885643 |
Provider's Primary Taxonomy Detail
| Speciality | General Practice |
|---|---|
| Taxonomy | 1223G0001X |
| Licence No | 019-021592 |
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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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Post Comment/ Review Below
What is the unique 10-digit identification code issued to Robert M. Wynn by the Centers for Medicare & Medicaid Services?
The Robert M. Wynn has been assigned the NPI (National Provider Identifier) 1144352170 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code serves as a unique identifier for healthcare providers.
Could you please provide the complete street address where Robert M. Wynn is physically located?
The Robert M. Wynn is physically situated at the following address: 4517 N Rockwood Dr, Peoria, IL, 616153841.
What is Robert M. 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 Robert M. Wynn is General Practice, and the taxonomy classification code that categorizes this area of expertise is 1223G0001X.
When was the Robert M. Wynn's 1144352170 issued?
The Robert M. Wynn's 1144352170 was issued on 2007-03-13.
When was the Robert M. Wynn's information last updated?
The Robert M. Wynn's information was last updated on 2020-12-10.