Independent US Healthcare Provider Directory & Public Medical Database
Active NPI 1023083631 Individual Practitioner Female Practitioner

Michelle S Gwyn

Dentist - General Practice • Macon, GA

Professional Overview & Biography Verified Profile Summary

Michelle Gwyn is a registered healthcare professional specializing in Dentist - General Practice in Macon, GA. Practice services are available at 1536 EISENHOWER PKWY under active NPI credentials.

Practice Location & Contact Primary Location

Practice Address

1536 Eisenhower Pkwy

Macon, GA 312063130

Telephone 4787814333
Associated Practice Facility / Clinic
🏢 Youth Dentistry Of Macon, Pc Facility NPI 1851366462

Specialty Benchmarks & Practice Insights

Comparative analytics for Dentist - General Practice in Macon, GA

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 45.0 Yrs
State Avg: 22.8 Yrs
Regional Practice Density
65 Specialists

Practicing in Macon, GA (3302 Statewide)

Telehealth Adoption Rate
0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
67.4% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Medical Specialties & State Licenses

Dentist - General Practice Primary Specialty

NUCC Taxonomy Code: 1223G0001X

State License GA DN013195

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.

Additional State Medicaid & Healthcare Payer Identifiers

Medicaid State Provider ID
9180516 (GA)

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

5 Associated Practitioners
Dr. Phoeby Lewis , DMD

Dentist - General Practice

NPI 1154364396

Doctor of Dental Medicine

Dr. Andrea Wood , DMD

Dentist - General Practice

NPI 1285745505

Doctor of Dental Medicine

Dr. Tara Brooks , DDS

Dentist - General Practice

NPI 1457497414

Doctor of Dental Surgery

Dr. Martha Sanchez , DMD

Dentist - General Practice

NPI 1588455463

Doctor of Dental Medicine

Dr. Jaime Valencia , DMD

Dentist - Orthodontics and Dentofacial Orthopedics

NPI 1649824475

Doctor of Dental Medicine

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

6 Historical Events
NPI Profile Active July 09, 2007

NPI status registered as active in NPPES database

📍
Updated Practice Location July 09, 2007

Registered at 1536 EISENHOWER PKWY, MACON, GA 312063130 (Tel: 4787814333)

📍
Updated Business Mailing Address July 09, 2007

Registered at 415 N GRAND AVE, PUEBLO, CO 810033111 (Tel: 7195463333)

👤
Provider Name / Credentials Updated July 09, 2007

Recorded as MICHELLE GWYN

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) July 09, 2007

Dentist (License #DN013195 in GA)

🟢
Initial NPI Registration & Enumeration February 18, 2006

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1023083631
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: February 18, 2006
Last Update: July 09, 2007
Sole Proprietor: No

Mailing Address

415 N Grand Ave

Pueblo, CO 810033111

Phone: 7195463333

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).
⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.