DR. KATHRYN SUSANNE WYNNE


Address: 5131 Main St Ste 101, Santa Fe, NM 87507-2682
Phone: 5052099080

DR. KATHRYN SUSANNE WYNNE (NPI# 1073167789) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1073167789
Entity Type Individual
Full Name DR. KATHRYN SUSANNE WYNNE
Credential DDS
Practice Address 5131 Main St Ste 101
Santa Fe
NM 87507-2682
Mailing Address 5327 Camino Del Griego
Santa Fe
NM 87507
Practice Telephone 5052099080
Enumeration Date 2019-07-31
Last Update Date 2019-07-31
Gender Code F
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 122300000X Dentist DD5155 NM Dental Providers

Other Providers KATHRYN WYNNE

NPI Name Taxonomy Address Enumeration
1699241430 Kathryn Grace Wynne Social Worker 420 N James Rd, Columbus, OH 43219-1834 2018-10-19
1619239050 Kathryn E. Wynne Pediatrics 55 Lake Ave N, Worcester, MA 01655-0002 2012-06-12

Office Location

Street Address 5131 MAIN ST STE 101
City SANTA FE
State NM
Zip Code 87507-2682

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1093316390 Cynthia Lois Meyers Pharmacy 2709 Cerrillos Road, Santa Fe, NM 87507 2020-11-03
1578160685 Nancy Benigsohn Counselor 4001 Office Courte., Suite 603, Santa Fe, NM 87507 2020-10-02
1730684853 Presbyterian Healthcare Services General Acute Care Hospital 4801 Beckner Road, Santa Fe, NM 87507 2018-03-29
1033623780 Averie Montgomery-diener Physical Therapy Assistant 2538 Camino Entrad Suite 300, Santa Fe, NM 87507 2017-11-16
1013426790 Deja Nicole Mendez Behavior Technician 2213 Paseo De Tercero, Santa Fe, NM 87507 2017-09-25
1548787633 Lauren Sherwood Behavior Technician 4129 S Meadows Rd, Apt #1023, Santa Fe, NM 87507 2017-08-29
1972032563 Alyssa Butler Counselor 1409 Zepol Rd Apt 110, Santa Fe, NM 87507 2017-06-07
1093253221 Stateserv Medical Durable Medical Equipment & Medical Supplies 4326 Airport Road, Unit F, Santa Fe, NM 87507 2017-02-08
1891233128 Daniel & Max, LLC Optometrist 4079 Cerillos Road, Santa Fe, NM 87507 2017-02-07
1508225749 Youth Shelters and Family Services Counselor 5686 B Agua Fria Street, Santa Fe, NM 87507 2016-02-16
Find all providers in zip 87507

Taxonomy Information

Taxonomy Code 122300000X
Grouping Dental Providers
Classification Dentist

Taxonomy 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.
Notes: Source: Council on Dental Education and Licensure, American Dental Association

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1033770953 Chad Joseph Davis Dentist 3811 Cerrillos Rd Ste 104, Santa Fe, NM 87507-4149 2019-06-21
1215428602 Dylan Joseph Arens Dentist 550 Saint Michaels Dr # 2, Santa Fe, NM 87505-7604 2018-05-22
1215453212 Sonia Henriquez Magruder Dentist 12920 Highway 6, Santa Fe, TX 77510-7678 2017-08-21
1376099499 Dental Partners of Santa Fe LLC Dentist 3811 Cerrillos Rd, Suite 102, Santa Fe, NM 87507-4112 2016-08-29
1427394733 New Mexico Professional Dental Dentist 806 Calle Mejia, Santa Fe, NM 87501-1405 2012-12-14
1730406026 Morgan Family Dentistry, LLC Dentist 1442 S. St Francis, Suite G, Santa Fe, NM 87505 2010-04-26
1629305743 M. Thomas Ashbrook, Dds, PC Dentist 2019 Galisteo St Ste N7, Santa Fe, NM 87505-2111 2009-11-10
1760637532 Bonnie L Ruyle Dentist 2322 Calle Pava, Santa Fe, NM 87505-6320 2008-11-20
1811159023 Jason Keith Chapman Dentist 4a Florence Rd, Santa Fe, NM 87507-8559 2008-06-29
1902066335 Jacquelyn M Gomez-bartek Dentist 550b Saint Michaels Dr Ste 2, Santa Fe, Santa Fe, NM 87505-7604 2008-06-10
Find all providers in SANTA FE

Competitor

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City SANTA FE
Zip Code 87507

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES)
Jurisdiction Medicare & Medicaid

This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.

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