DR. MARY ELLEN WYNN (NPI# 1710964838) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1710964838 |
| Entity Type | Individual |
| Full Name | DR. MARY ELLEN WYNN |
| Credential | D.D.S. |
| Practice Address |
3650 Muddy Creek Rd Suite 200 Cincinnati OH 45238-2044 |
| Practice Telephone | 5139224221 |
| Practice Fax Number | 5139225634 |
| Mailing Telephone | 5139224221 |
| Mailing Fax Number | 5139225634 |
| Enumeration Date | 2005-12-29 |
| Last Update Date | 2007-07-08 |
| Gender Code | F |
| Is Sole Proprietor | X |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 1223G0001X |
Dentist Specialization: General Practice |
30-01-5596 | OH | Dental Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1952884785 | Mary Wynn | Social Worker | 2434 S Eason Blvd, Tupelo, MS 38804-6942 | 2018-09-07 |
| 1356310486 | Mary E Wynn | Family Medicine | 1061 Harmon Ave, Suite 1d03, Fort Stewart, GA 31314-5641 | 2006-03-14 |
| Street Address |
3650 MUDDY CREEK RD SUITE 200 |
| City | CINCINNATI |
| State | OH |
| Zip Code | 45238-2044 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1255321147 | Tasleem Ahmed Minhas | Orthopaedic Surgery | 3650 Muddy Creek Rd, Suite 100, Cincinnati, OH 45238-2057 | 2005-10-24 |
| 1770615171 | Western Hills Orthopaedic & Sports Medicine, Inc | Orthopaedic Surgery | 3650 Muddy Creek Rd, Suite 100, Cincinnati, OH 45238-2057 | 2007-03-12 |
| 1003806886 | John Michael Gallagher | Orthopaedic Surgery | 3650 Muddy Creek Rd, Suite 100, Cincinnati, OH 45238-2057 | 2005-10-24 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1548860588 | Corey Allison | Case Manager/Care Coordinator | 312 Glenmore Ave. Ste 14, Cincinnati, OH 45238 | 2020-10-29 |
| 1366077174 | Lawanda Antoinette Price | Counselor | 5122 Glenway Crossing Way, Cincinnati, OH 45238 | 2020-03-12 |
| 1639715808 | Bullock Dialysis LLC | Clinic/Center | 2290 Ferguson Rd, Cincinnati, OH 45238 | 2019-11-22 |
| 1629547021 | Abigail M Rebholz | Speech-Language Pathologist | 2039 Anderson Ferry Rd, Cincinnati, OH 45238 | 2018-11-15 |
| 1942667548 | Lashawnda C Gaston | Military Health Care Provider | 1322 Le Mar Dr, Cincinnati, OH 45238 | 2016-01-27 |
| 1134598402 | Abbie Crookham | Registered Nurse | 2146 Ferguson Rd., Cincinnati, OH 45238 | 2015-09-17 |
| 1518341346 | Kenyatta Shena Mccrary | Home Health Aide | 831 Greenwich Ave, Cincinnati, OH 45238 | 2015-07-10 |
| 1225431893 | Brooke Whalen | Dental Assistant | 2146 Ferguson Road, Cincinnati, OH 45238 | 2014-09-26 |
| 1669885588 | Moussa Demba | Medicare Defined Swing Bed Unit | 2484 Queen City Ave Apt 7, Cincinnati, OH 45238 | 2014-06-09 |
| 1811335961 | Kelly G Mirus | Specialist/Technologist | 5161 Ralph Ave, Cincinnati, OH 45238 | 2013-06-11 |
| Find all providers in zip 45238 | ||||
| Taxonomy Code | 1223G0001X |
| Grouping | Dental Providers |
| Classification | Dentist |
| Specialization | General Practice |
| 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. |
| Notes: Source: Academy of General Dentistry |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1184237984 | Jasmina Maric | Dentist | 6519 Greenoak Dr, Cincinnati, OH 45248-1413 | 2020-08-31 |
| 1538781448 | Vanessa Maria Short | Dentist | 3860 Race Rd Ste 101, Cincinnati, OH 45211-4307 | 2020-05-13 |
| 1902466329 | Stetson Earl | Dentist | 315 W Kemper Rd, Cincinnati, OH 45246-3003 | 2019-06-18 |
| 1104486836 | John-morgan Correll | Dentist | 3802 Paxton Ave # 12a, Cincinnati, OH 45209-2399 | 2019-06-14 |
| 1003305988 | Rikul Dinkerkumar Patel | Dentist | 7140 Miami Ave Ste 102, Cincinnati, OH 45243 | 2018-05-06 |
| 1710414081 | Robert James Stephens | Dentist | 7764 Colerain Ave, Cincinnati, OH 45239-4504 | 2017-05-17 |
| 1942733704 | Mary Kathleen Herman | Dentist | 8111 Cheviot Rd Ste 102, Cincinnati, OH 45247 | 2017-04-09 |
| 1558715789 | Yael Joseph Garcia | Dentist | 880 Eastgate N Dr., Ste 101, Cincinnati, OH 45245 | 2016-04-13 |
| 1174980247 | Mallory Adler Dds LLC | Dentist | 10475 Reading Rd Ste 408, Cincinnati, OH 45241-2500 | 2016-01-20 |
| 1588069256 | Nick Morenz | Dentist | 3343 Harrison Ave, Cincinnati, OH 45211-5511 | 2014-10-23 |
| Find all providers in CINCINNATI | ||||
| City | CINCINNATI |
| Zip Code | 45238 |
Please comment or provide details below to improve the information on DR. MARY ELLEN WYNN.
| 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.