Individual provider · Type 1 NPI

William Bernard Wynn Iv, DDS, M.S.

Periodontics · Tulsa, OK

NPI number 1245359371 Active

Practice location

6565 S Yale Ave, Suite 1008
Tulsa, OK 74136-8378

Fax (918) 492-9439

Specialties and licenses

TaxonomyCodeLicense
Periodontics Primary 1223P0300X5447 (OK)

Periodontics: That specialty of dentistry which encompasses the prevention, diagnosis and treatment of diseases of the supporting and surrounding tissues of the teeth or their substitutes and the maintenance of the health, function and esthetics of these structures and tissues.

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About NPI 1245359371

William Bernard Wynn Iv, DDS, M.S.'s National Provider Identifier is 1245359371, issued on Mar 28, 2007. The primary taxonomy on file is Periodontics (1223P0300X), and the practice location is in Tulsa, OK. The record was last updated on Jul 8, 2007.