IndividualActive
Nelson Gwinn, DMD
NPI 1629964804 · General Practice Dentistry · Dothan, AL
Provider details
- NPI number
- 1629964804
- Entity type
- Individual
- Primary specialty
- General Practice DentistryDental Providers
- Credential
- DMD
- Sex
- Male
- Sole proprietor
- No
- License
- 7459 (AL)
Specialties & taxonomies
Dental Providers
Profile Score
Established profile(54/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
1 yr in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
200 Grove Park Ln Ste 610
Dothan, AL 36305-5919
Phone: (334) 699-7777
Fax: (334) 699-7778
Street-level locationGet directions
Mailing address
200 Grove Park Ln Ste 610
Dothan, AL 36305-5919
Registry dates
- Enumerated
- 2025-06-16
- Last updated
- 2025-06-16
- Certified
- 2025-06-16
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.