Provider Demographics
NPI:1518858919
Name:WYNNE, HAYDEN SANDERS (DMD)
Entity type:Individual
Prefix:DR
First Name:HAYDEN
Middle Name:SANDERS
Last Name:WYNNE
Suffix:
Gender:M
Credentials:DMD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:18 FOXCROFT VILLAGE DR
Mailing Address - Street 2:
Mailing Address - City:LITTLE ROCK
Mailing Address - State:AR
Mailing Address - Zip Code:72227-6518
Mailing Address - Country:US
Mailing Address - Phone:870-250-1311
Mailing Address - Fax:
Practice Address - Street 1:8315 CANTRELL RD STE 100
Practice Address - Street 2:
Practice Address - City:LITTLE ROCK
Practice Address - State:AR
Practice Address - Zip Code:72227-2354
Practice Address - Country:US
Practice Address - Phone:501-227-5757
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2025-07-14
Last Update Date:2025-07-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AR48261223X0400X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223X0400XDental ProvidersDentistOrthodontics and Dentofacial Orthopedics