SearchTennessee122300000X

Susan Wynne, DDS

NPI 1780931915 · on the registry since 2012 · sole proprietor

Practice

Address
122 Colonial Ave
Copperhill, TN 37317
Phone
(423) 548-1525
Fax
(423) 548-1526

Registry record

Primary taxonomy
122300000X
122300000X
Licence states on file
TN
From the registry's licence fields, which are often incomplete.
Sex
Female
Record last updated
2015-08-27

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 Tennessee