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Search › Illinois › General Practice Dentistry

Robert Wynn, DMD

NPI 1144352170 · on the registry since 2007 · sole proprietor

Practice

Address
4517 N Rockwood Dr
Peoria, IL 61615
Phone
(309) 688-1021
Fax
(309) 688-5643
Organisation at this address
Peoria Dental Care
Inferred from a shared address, not stated in the registry.
Clinicians at this address
6

Registry record

Primary taxonomy
General Practice Dentistry
1223G0001X
Also registered as
General Practice Dentistry
Licence states on file
IL
From the registry's licence fields, which are often incomplete.
Sex
Male
Record last updated
2020-12-10

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Illinois