Independent US Healthcare Provider Directory & Public Medical Database
Deactivated NPI 1710107297 Deactivated / Inactive NPI Female Practitioner

Dr. Mary Ann Wines , DDS

Dentist - General Practice • Sycamore, IL

⚠️

Notice of NPI Deactivation & Inactive Practice Status

According to official public domain records published by CMS (Centers for Medicare & Medicaid Services) in the National Provider Identifier (NPPES) Registry, Dr. Mary Ann Wines has officially deactivated this NPI record and ceased active healthcare practice.

Registration / Start Date April 26, 2007
NPI Deactivation Date February 01, 2023
Total Practice Duration ~16 Years of Practice (2007 – 2023)

Professional Overview & Biography Verified Profile Summary

Dr. Mary Ann Wines, DDS was a registered Dentist - General Practice practicing in Sycamore, IL. Throughout an active medical career spanning 16 years, Dr. Wines provided care at the practice location at 2025 ABERDEEN CT until profile deactivation on 2023-02-01.

Practice Location & Contact Primary Location

Practice Address

2025 Aberdeen Ct

Sycamore, IL 601783140

Telephone 8157583666
Fax 8157583626
Associated Practice Facility / Clinic
🏢 Collins Dental Group, P.c. Facility NPI 1215157797

Specialty Benchmarks & Practice Insights

Comparative analytics for Dentist - General Practice in Sycamore, IL

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 10.5 Yrs
State Avg: 18.0 Yrs
Regional Practice Density
13 Specialists

Practicing in Sycamore, IL (5581 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 IL 019-018401

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.

Practice Associates & Co-Workers

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

9 Associated Practitioners
Dr. Bryce Deter , DDS

Dentist - General Practice

NPI 1104046689

Doctor of Dental Surgery

Dr. Kenneth Trch , DDS

Dentist - General Practice

NPI 1356551469

Doctor of Dental Surgery

Dr. Mark Sloan , DDS

Dentist - General Practice

NPI 1427169309

Doctor of Dental Surgery

NPI 1538333034

Doctor of Dental Surgery

NPI 1609070077

Doctor of Dental Medicine

Dr. Allison Sullivan , DMD

Dentist - General Practice

NPI 1639656788

Doctor of Dental Medicine

Career & Practice History Timeline

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

7 Historical Events
⚠️
NPI Profile Deactivated February 01, 2023

Record deactivated on February 01, 2023

NPI Profile Active October 13, 2008

NPI status registered as active in NPPES database

📍
Updated Practice Location October 13, 2008

Registered at 2025 ABERDEEN CT, SYCAMORE, IL 601783140 (Tel: 8157583666)

📍
Updated Business Mailing Address October 13, 2008

Registered at 2025 ABERDEEN CT, SYCAMORE, IL 601783140 (Tel: 8157583666)

👤
Provider Name / Credentials Updated October 13, 2008

Recorded as MARY ANN WINES, D.D.S.

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) October 13, 2008

Dentist (License #019-018401 in IL)

🟢
Initial NPI Registration & Enumeration April 26, 2007

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

0 Reviews
No patient reviews submitted yet for Dr. Mary Ann Wines. Be the first to share your experience!

Sign in to leave a review for Dr. Mary Ann Wines

Only verified registered users can submit ratings, post feedback, and upload facility photos.

NPI Administrative Meta

NPI Number: 1710107297
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: April 26, 2007
Last Update: October 13, 2008
Deactivation Date: February 01, 2023

Mailing Address

2025 Aberdeen Ct

Sycamore, IL 601783140

Phone: 8157583666

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.