Organization · Type 2 NPI

Wynn Dental Corporation

General Practice Dentistry · Glendale, AZ

NPI number 1174199434 Active

Practice location

6615 W Happy Valley Rd Ste 103104
Glendale, AZ 85310-2608

Specialties and licenses

Taxonomy	Code	License
General Practice Dentistry Primary	1223G0001X	None listed

General Practice Dentistry: 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.

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NPI record

NPI: 1174199434
Entity type: Organization (Type 2)
Issued: May 27, 2021
Last updated: Mar 17, 2026
Status: Active
Subpart: Yes of Wynn Dental Corporation

Other names

Mercy Care Dental Care · doing business as
Mercy Dental Care · doing business as

Authorized official

Ms. Celina Romero
Credentialing
(480) 795-2420

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This page mirrors the public NPPES file. For credentialing or billing, confirm it on the official CMS NPI Registry, and check the license with the state board.

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About NPI 1174199434

Wynn Dental Corporation's National Provider Identifier is 1174199434, issued on May 27, 2021. The primary taxonomy on file is General Practice Dentistry (1223G0001X), and the practice location is in Glendale, AZ. The record was last updated on Mar 17, 2026.