DR. DAVID D WYNN (NPI# 1487675518) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1487675518 |
| Entity Type | Individual |
| Full Name | DR. DAVID D WYNN |
| Credential | D.D.S. |
| Practice Address |
6495 Alvarado Rd Suite 102 San Diego CA 92120-5004 |
| Practice Telephone | 6192878870 |
| Practice Fax Number | 6192870640 |
| Mailing Telephone | 6192878870 |
| Mailing Fax Number | 6192870640 |
| Enumeration Date | 2006-07-22 |
| Last Update Date | 2007-07-08 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 1223X0400X |
Dentist Specialization: Orthodontics and Dentofacial Orthopedics |
D2256901 | CA | Dental Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1639788771 | David Wynn | Counselor | 950 Tunnel Rd, Asheville, NC 28805-2025 | 2020-07-24 |
| 1164859989 | David Wynn | Social Worker | 131 N Allumbaugh St, Boise, ID 83704-9204 | 2013-10-11 |
| Street Address |
6495 ALVARADO RD SUITE 102 |
| City | SAN DIEGO |
| State | CA |
| Zip Code | 92120-5004 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1952402158 | David D. Wynn, D.d.s. A Professional Corporation | Dentist | 6495 Alvarado Rd, Suite 102, San Diego, CA 92120-5004 | 2006-09-26 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1316550510 | Jessica Elizabeth Knight | Student in an Organized Health Care Education/Training Program | 6383 Alvarado Ct, 310, San Diego, CA 92120 | 2020-08-26 |
| 1770195091 | Julia Roccanova | Student in an Organized Health Care Education/Training Program | 6383 Alvarado Court, Suite 310, San Diego, CA 92120 | 2020-08-18 |
| 1225593601 | Truself Training, Inc | Clinic/Center | 5125 Waring Road, San Diego, CA 92120 | 2019-02-09 |
| 1508381799 | Antin Sachs | In Home Supportive Care | 4420 Rainier Avenue, Suite 202, San Diego, CA 92120 | 2017-08-08 |
| 1588186415 | Matthew B Wilbat | Behavioral Analyst | 6851 Alvarado Rd., #17, San Diego, CA 92120 | 2017-07-12 |
| 1548782923 | Mori Khatibzadeh Dds Inc. | Clinic/Center | 6171 Mission Gorge Road, Suite #114, San Diego, CA 92120 | 2017-07-07 |
| 1306379359 | Ken Samith Oerding | Nurse Practitioner | 5422 Reservoir Drive, E7, San Diego Ca, CA 92120 | 2017-04-06 |
| 1396134409 | Debra Michele Stern-ellis | Social Worker | 4647 Zion Avenue Kaiser Permanente, 2nd Floor - Oncology, San Diego, CA 92120 | 2015-01-13 |
| 1821494717 | Shohreh Tourian | Dentist | 7451 Mission Gorge Road, San Diego, CA 92120 | 2014-11-05 |
| 1184049215 | Charles Yin | Counselor | 6153 Fairmount Ave Suite #260, San Diego, CA 92120 | 2014-02-26 |
| Find all providers in zip 92120 | ||||
| Taxonomy Code | 1223X0400X |
| Grouping | Dental Providers |
| Classification | Dentist |
| Specialization | Orthodontics and Dentofacial Orthopedics |
| That area of dentistry concerned with the supervision, guidance and correction of the growing or mature dentofacial structures, including those conditions that require movement of teeth or correction of malrelationships and malformations of their related structures and the adjustment of relationships between and among teeth and facial bones by the application of forces and/or the stimulation and redirection of functional forces within the craniofacial complex. Major responsibilities of orthodontic practice include the diagnosis, prevention, interception and treatment of all forms of malocclusion of the teeth and associated alterations in their surrounding structures; the design, application and control of functional and corrective appliances; and the guidance of the dentition and its supporting structures to attain and maintain optimum occlusal relations in physiologic and esthetic harmony among facial and cranial structures. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1295210920 | Hiba Alabdullah | Dentist | 6482 Ambrosia Dr Apt 5106, San Diego, CA 92124-3143 | 2018-09-28 |
| 1548745300 | Cesar Augusto Manrique Moreno | Dentist | 1041 Market St Ste 165, San Diego, CA 92101-7233 | 2018-09-27 |
| 1902314834 | Jae Young Yoo | Dentist | 4765 Carmel Mountain Rd Ste 208, San Diego, CA 92130-6657 | 2018-01-12 |
| 1003326224 | Dr. Hoss, A Professional Corporation | Dentist | 11943 El Camino Real Ste 200, San Diego, CA 92130-2597 | 2017-10-02 |
| 1336668110 | Hoss Km Dental Group, A Professional Group | Dentist | 9737 Aero Dr, San Diego, CA 92123-1859 | 2017-09-13 |
| 1790136687 | Cheryl Kang Guerrero | Dentist | 3810 Valley Centre Dr Ste 902a, San Diego, CA 92130-3308 | 2016-06-22 |
| 1457748212 | Peter Mark Vrontikis | Dentist | 7777 Westside Dr Apt 469, San Diego, CA 92108-1242 | 2015-04-20 |
| 1568857464 | Dr. Jeffrey A. Saladin, Dental Corporation | Dentist | 4074 Fairmount Avenue, Suite B, San Diego, CA 92105 | 2015-03-30 |
| 1649522913 | Budd Email Rubin | Dentist | 1145 Pacific Beach Dr, #408, San Diego, CA 92109-5194 | 2012-10-10 |
| 1700165917 | Matthew Durschlag | Dentist | 239 Laurel St Ste 201, San Diego, CA 92101-1473 | 2011-08-05 |
| Find all providers in SAN DIEGO | ||||
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| 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.