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DR. ROBERT DANIEL WINGO D.D.S.
General Practice >> Dentist >> Dental ProvidersRegistrant NPI Number: 1598146904
Individual Registrant:DR. ROBERT DANIEL WINGO D.D.S.
Gender: M
Not Sole Proprietor
Gender: M
Not Sole Proprietor
Location and contact information for practice:
3353 UNION HILL RD JOELTON, TN 37080-8726 US
Tel: 615-876-4262 Fax: 615-876-2325
Tel: 615-876-4262 Fax: 615-876-2325
Contact information for business:
PO BOX 759 3533 UNION HILL ROAD JOELTON, TN 37080-0759 US
Tel: 615-876-4262 Fax: 615-876-2325
Tel: 615-876-4262 Fax: 615-876-2325
Registration Information:
NPI: 1598146904
Entity Type: Individual
Entity Type: Individual
Specialty information:
| Primary | Code | Category/Description | State | License Number |
|---|---|---|---|---|
| Y | 1223G0001X | Dental Providers Dentist General Practice | TN | 10077 |
Legacy codes, insurance codes and state license numbers:
| Issuer | Number | State | Type |
|---|---|---|---|
