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Organization
WILLIAM T WYNNE, DDS, PLLC
Active
Organization
WILLIAM T WYNNE, DDS, PLLC
Active
Other names
Carolinas BioHealth Dentistry
Organization subpart
No
Provider details
NPI number
Authorized official
DAWN HALL (OFFICE MANAGER)
(336) 778-2477
Entity
Organization
Contact information
Practice address
100 STADIUM OAKS DR STE A, CLEMMONS, NC 27012-8961
(336) 793-0577
(336) 778-2437
Mailing address
100 STADIUM OAKS DR STE A, CLEMMONS, NC 27012-8961
(336) 778-2477
(336) 778-2437
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1518379601
TYPE 1 NPI
—
Enumeration date
12/02/2021
Last updated
06/16/2023
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