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Organization

WINGO FAMILY DENTISTRY

Active
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Organization

WINGO FAMILY DENTISTRY

Active
Organization subpart
No

Provider details

NPI number
Authorized official
MR. ROBERT D WINGO DDS (DOCTOR)
(615) 876-2325
Entity
Organization

Contact information

Practice address
3353B UNION HILL RD, JOELTON, TN 37080-8726
(615) 876-2325
(615) 876-2325
Mailing address
PO BOX 759, JOELTON, TN 37080-0759
(615) 876-2325
(615) 876-2325

Taxonomy

Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
—
NULL
1223G0001X
General Practice Dentistry
Primary
—
—

Other

Enumeration date
03/19/2015
Last updated
12/05/2016
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