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DR. ROBERT WESLEY WINGO DDS
General Practice >> Dentist >> Dental ProvidersRegistrant NPI Number: 1700980745
Individual Registrant:DR. ROBERT WESLEY WINGO DDS
Gender: M
Sole Proprietor
Gender: M
Sole Proprietor
Location and contact information for practice:
3353 UNION HILL RD JOELTON, TN 37080-8726 US
Tel: 615-876-2325 Fax: --
Tel: 615-876-2325 Fax: --
Contact information for business:
3353 UNION HILL RD P.O. BOX 759 JOELTON, TN 37080-8726 US
Tel: 615-876-2325 Fax: --
Tel: 615-876-2325 Fax: --
Registration Information:
NPI: 1700980745
Entity Type: Individual
Entity Type: Individual
Specialty information:
| Primary | Code | Category/Description | State | License Number |
|---|---|---|---|---|
| Y | 1223G0001X | Dental Providers Dentist General Practice | TN | DS0000003053 |
Legacy codes, insurance codes and state license numbers:
| Issuer | Number | State | Type |
|---|---|---|---|
