Individual
DR. KENNETH SHANE WINGLER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
1690 RIVER ST, WILKESBORO, NC 28697-7630
(336) 838-9400
Mailing address
2257 GLADYS FORK RD, FERGUSON, NC 28624-9137
(336) 467-0561
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
11019
NC
Other
Enumeration date
05/25/2018
Last updated
05/25/2018
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